Exam 9: Health Care Systems and Policy

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Cost shifting of health care expenses is illegal.

(True/False)
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A major contributor to health care expenditures in the U.S.is the administrative cost of the insurance process itself.

(True/False)
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A prospective payment system uses the _____ system of classifying patients' illnesses according to treatment requirements for the purpose of establishing payment rates.

(Multiple Choice)
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Discuss three cost containment efforts.

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The _____ is the HMO model in which the HMO contracts with one or more multi-specialty group practices that contract to provide health care services exclusively to its members.

(Multiple Choice)
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Match the description in the left column with one of the two programs in the right column. The same letter may be used more than once.
Social Security Administration handles enrollment
Medicaid
Financed by trust funds from Social Security
Medicare
Assists individuals with end-stage renal disease
Correct Answer:
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Social Security Administration handles enrollment
Medicaid
Financed by trust funds from Social Security
Medicare
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Which of the following is not true regarding nutrition protocols?

(Multiple Choice)
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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. -What might be some of the possible positive outcomes of this protocol?

(Essay)
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Summarize the demographic characteristics of those without health insurance.

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In the past,the most notable gaps in Medicare coverage have been

(Multiple Choice)
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A study that compares the costs of providing health care against a desirable change in patient health outcomes is called a(n)

(Multiple Choice)
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An advantage of the traditional fee-for-service insurance is unrestricted access to physicians,tests,hospitals,and treatments.

(True/False)
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Care delivered according to a _____ has been linked with _____ for the patient.

(Multiple Choice)
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Medicare and Medicaid were created by which legislation?

(Multiple Choice)
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By 2030,the number of older adults needing nursing home care will more than triple.

(True/False)
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Describe some of the challenges related to health care reform in the U.S.

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More Americans are covered by governmental health insurance policies than private policies.

(True/False)
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The Medicare Modernization Act made coverage for which of the following available to Medicare recipients?

(Multiple Choice)
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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. -For each step,prepare a brief,but detailed,outline of what might be included.

(Essay)
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In the United States,we _____ disease rather than _____ disease.

(Multiple Choice)
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