Exam 9: Health Care Systems and Policy

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List and describe several current health care cost containment measures.

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Efforts to curb soaring health care costs cover a broad spectrum:slowing hospital construction,modifying hospital and physician reimbursement mechanisms,reducing the length of hospital stays,increasing copayments and deductibles for insured employees and Medicare recipients,changing eligibility requirements for Medicaid,reducing unnecessary surgery by requiring patients to obtain second opinions,restricting access to new technology,encouraging alternative delivery systems,emphasizing prevention,and using generic drugs.

Use the following case scenario to answer short answer items. You have been asked to serve on a Task Force to develop a nutrition care protocol for iron-deficiency anemia. -The development of patient care protocols includes three steps; what are they?

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The three steps are defining the patient population,defining the treatment,and identifying expected outcomes.

In order to be eligible for Medicare benefits,a person must be

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C

List 3 of the major provisions of the Affordable Care Act of 2010.

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Enrolled Medicare medical nutrition therapy (MNT)providers are able to bill Medicare for MNT services provided for all of the following except

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_____ is the largest component of national health care expenditures.

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Examples of benefits provided by Medicare include

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U.S.health care treats preventable illness rather than investing in prevention.

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Differentiate between traditional systems of health care and managed forms of health care.

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Capitation is a predetermined fee paid per enrollee per month to the participating health care provider.

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Health maintenance organizations are examples of which type of health insurance plan?

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The uninsured most often include

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Which of the following is not a major contributor to health care expenditures in the United States?

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A federally run entitlement program through which people age 65 and older receive health insurance is called

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What are some of the major contributors to health care expenditures in the U.S.?

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The philosophy behind HMOs is that it is a more cost-effective way to keep Americans healthy.

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An organization that contracts to deliver comprehensive health care to an enrolled group for a prepaid fee is a(n)

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Discuss some of the current trends and issues that will shape the future of health care.

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The cost effectiveness of nutrition services is uncertain.

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Describe eligibility requirements for and services provided to recipients of Medicare and Medicaid.

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