Exam 9: Health Care Systems and Policy

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You have been asked to present arguments in favor of reimbursable nutrition services to an HMO benefits coordinator.What benefits of nutrition intervention would you highlight in your discussion?

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Explain why health promotion is a major component of health care reform at the national level.

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State the value of using medical nutrition therapy protocols to document client outcomes in various health care settings.

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Match the HMO model with its correct description. Options will only be used once.
HMO contracts with multiple group practices, hospitals, and other providers to provide services to its members, but in a non-exclusive arrangement.
Independent practice association
HMO contracts with one or more multispecialty group practices that contract to provide health care services to its members.
Group model
A decentralized HMO model.
Staff model
Correct Answer:
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Responses:
HMO contracts with multiple group practices, hospitals, and other providers to provide services to its members, but in a non-exclusive arrangement.
Independent practice association
HMO contracts with one or more multispecialty group practices that contract to provide health care services to its members.
Group model
A decentralized HMO model.
Staff model
HMO owns and operates its own facility, is equipped for laboratory, pharmacy, and X-ray services, and hires its own physicians and other health care providers.
Network model
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Which of the following is not an effective method for containing the cost of healthcare?

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Which of the following is not characteristic of the prospective payment system?

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Medicare and Medicaid are the same program.

(True/False)
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Medicaid provides assistance with medical care for all of the following except

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What is a consumer-directed health plan? What are its benefits and limitations?

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What is the Children's Health Insurance Program (CHIP)?

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The Social Security Act of 1935 included provisions for Medicare and Medicaid.

(True/False)
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Older Americans consume a disproportionate amount of medical care.

(True/False)
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Explain the philosophy behind the HMO idea.

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U.S.per capita health spending exceeds that of other industrialized nations by significant margins.

(True/False)
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Medical nutrition therapy includes dietary modifications and nutrition counseling,but does not include the more complex methods of nutrition support.

(True/False)
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Who is the "third party" in third-party reimbursement?

(Multiple Choice)
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Trends in health care cost containment among third-party payers include

(Multiple Choice)
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In 2010,approximately _____ percent of the U.S.population was uninsured.

(Multiple Choice)
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The Children's Health Insurance Program was designed to reach children whose parents earned too much to qualify for Medicaid,but not enough to afford private health insurance.

(True/False)
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Which type of health insurance is most likely to encourage physicians to provide more medical services to a patient than may be necessary?

(Multiple Choice)
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