Exam 9: Health Care Systems and Policy

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The philosophy that the health care system will do everything possible in terms of curative and treatment services to make people well

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In 2010,an estimated 50 million people had no health insurance with the majority being children.

(True/False)
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HMOs and PPOs are examples of

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By 2030,approximately _____ percent of the population will be over 65 years of age.

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Community nutritionists can argue for reimbursable nutrition services by highlighting the benefits,which include all of following except that nutrition services

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Choose the type of nutrition intervention that is incorrectly matched with an example of a measurable outcome.

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The United States has a national health care program that is universal and uniform for all citizens.

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Public policy is now attempting to direct the medical system toward which of the following?

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The CDC is responsible for administering the public insurance in the United States.

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Health disparities persist among different populations,including racial and ethnic minorities.

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Match the definition in the left column with its correct term in the right column. Options will only be used once.
A cost-sharing requirement in which the insured assumes a portion of the costs of covered expenses
group contract
Expense that must be incurred by an insured person before an insurer will assume any liability for the covered services
copayment
Approach to paying for health care in which insurers try to limit the use of health services, reduce costs, or both
prospective payment system
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A cost-sharing requirement in which the insured assumes a portion of the costs of covered expenses
group contract
Expense that must be incurred by an insured person before an insurer will assume any liability for the covered services
copayment
Approach to paying for health care in which insurers try to limit the use of health services, reduce costs, or both
prospective payment system
A prepaid plan that both finances and delivers health care
deductible
A group of providers who contract with fee-for-service insurance companies to provide medical care for a discounted fee
HMO
Health insurance contract that is made with an employer and covers a group of employees
reimbursement
A payment system under which hospitals are paid a fixed sum per case
coinsurance
Payment made by a third party
managed-care system
Portion of the charge for medical services that the patient must pay
capitation
A predetermined fee paid per enrollee per month to the participating health care provider
PPO
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To determine the rating of a particular health care system,one must examine which of the following variables?

(Multiple Choice)
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A prospective payment system is one example of cost containment.

(True/False)
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