Question 1

Medicare was amended in 2000 to cover nutrition therapy as an outpatient benefit under Part B of the Medicare program.

Accepted Answer

A) True 
 B)False

Question 2

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

Accepted Answer

The answer of What is a consumer-directed health plan? What...

Question 3

In the United States, there are two general categories of health insurance: private insurance and managed care plans.

Accepted Answer

A) True 
 B)False

Question 4

What best describes how a PPO differs from an HMO?

Accepted Answer

A) Only PPOs enter into agreements with health care providers 
B) A member of a PPO is not required to select a primary care provider 
C)  A PPO limits coverage to only care from specialists 
D)  A PPO requires higher deductibles than HMOs

Question 5

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

Accepted Answer

The answer of List three of the major provisions of...

Question 6

​Match the HMO model with its correct description. Options will only be used once.
-​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.

Accepted Answer

A) ​Group model 
B) Independent practice association 
C) ​Network model 
D) ​Staff model

Question 7

​Match the definition in the left column with its correct term in the right column. Options will only be used once.
-​Approach to paying for health care in which insurers try to limit the use of health services, reduce costs, or both

Accepted Answer

A) ​capitation 
B) coinsurance 
C) copayment 
D) deductible 
E) ​group contract
F)​HMO
G)​managed-care system
H)​PPO
I)​prospective payment system
J)​reimbursement

Question 8

The cost effectiveness of nutrition services is uncertain.

Accepted Answer

A) True 
 B)False

Question 9

An advantage of the traditional fee-for-service insurance is that it encourages physicians to provide more services than may be necessary.

Accepted Answer

A) True 
 B)False

Question 10

Discuss three cost containment efforts.

Accepted Answer

The answer of Discuss three cost containment efforts....

Question 11

A health insurance contract that is made with an employer or other entity and covers several people by reference to their relationship to the entity is known as a ____.

Accepted Answer

A) group contract 
B) managed care system 
C)  point-of-service plan 
D)  exclusive provider contract

Question 12

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

Accepted Answer

The answer of Differentiate between traditional systems of health care...

Question 13

Which type of health insurance is available as either traditional plans or group contract insurance?

Accepted Answer

A) private insurance 
B) preferred provider plans 
C)  health maintenance organizations 
D)  public health plans

Question 14

An individual who is ____ would be eligible for Medicare benefits.

Accepted Answer

A) living on an income below the poverty line 
B) retired from fulltime employment 
C)  eligible for Social Security disability programs for 24 months 
D)  living in a state that has health insurance benefits

Question 15

​Match the definition in the left column with its correct term in the right column. Options will only be used once.
-​Portion of the charge for medical services that the patient must pay

Accepted Answer

A) ​capitation 
B) coinsurance 
C) copayment 
D) deductible 
E) ​group contract
F)​HMO
G)​managed-care system
H)​PPO
I)​prospective payment system
J)​reimbursement

Question 16

​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

Accepted Answer

A) ​capitation 
B) coinsurance 
C) copayment 
D) deductible 
E) ​group contract
F)​HMO
G)​managed-care system
H)​PPO
I)​prospective payment system
J)​reimbursement

Question 17

Summarize the demographic characteristics of those without health insurance.

Accepted Answer

The answer of Summarize the demographic characteristics of those without...

Question 18

​Match the definition in the left column with its correct term in the right column. Options will only be used once.
-​A predetermined fee paid per enrollee per month to the participating health care provider

Accepted Answer

A) ​capitation 
B) coinsurance 
C) copayment 
D) deductible 
E) ​group contract
F)​HMO
G)​managed-care system
H)​PPO
I)​prospective payment system
J)​reimbursement

Question 19

A self-insured health plan describes a plan where the risk for medical costs is assumed by the patient, rather than an insurance company.

Accepted Answer

A) True 
 B)False

Question 20

List six activities that promote health reform and that are included within the scope of dietetics practice.

Accepted Answer

The answer of List six activities that promote health reform...

Exam 9: Health Care Systems and Policy

Medicare was amended in 2000 to cover nutrition therapy as an outpatient benefit under Part B of the Medicare program.

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

In the United States, there are two general categories of health insurance: private insurance and managed care plans.

What best describes how a PPO differs from an HMO?

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

Match the HMO model with its correct description. Options will only be used once. -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.

Match the definition in the left column with its correct term in the right column. Options will only be used once. -Approach to paying for health care in which insurers try to limit the use of health services, reduce costs, or both

The cost effectiveness of nutrition services is uncertain.

An advantage of the traditional fee-for-service insurance is that it encourages physicians to provide more services than may be necessary.

Discuss three cost containment efforts.

A health insurance contract that is made with an employer or other entity and covers several people by reference to their relationship to the entity is known as a ____.

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

Which type of health insurance is available as either traditional plans or group contract insurance?

An individual who is ____ would be eligible for Medicare benefits.

Match the definition in the left column with its correct term in the right column. Options will only be used once. -Portion of the charge for medical services that the patient must pay

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

Summarize the demographic characteristics of those without health insurance.

Match the definition in the left column with its correct term in the right column. Options will only be used once. -A predetermined fee paid per enrollee per month to the participating health care provider

A self-insured health plan describes a plan where the risk for medical costs is assumed by the patient, rather than an insurance company.

List six activities that promote health reform and that are included within the scope of dietetics practice.

Exam 9: Health Care Systems and Policy

Medicare was amended in 2000 to cover nutrition therapy as an outpatient benefit under Part B of the Medicare program.

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

In the United States, there are two general categories of health insurance: private insurance and managed care plans.

What best describes how a PPO differs from an HMO?

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

​Match the HMO model with its correct description. Options will only be used once. -​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.

​Match the definition in the left column with its correct term in the right column. Options will only be used once. -​Approach to paying for health care in which insurers try to limit the use of health services, reduce costs, or both

The cost effectiveness of nutrition services is uncertain.

An advantage of the traditional fee-for-service insurance is that it encourages physicians to provide more services than may be necessary.

Discuss three cost containment efforts.

A health insurance contract that is made with an employer or other entity and covers several people by reference to their relationship to the entity is known as a ____.

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

Which type of health insurance is available as either traditional plans or group contract insurance?

An individual who is ____ would be eligible for Medicare benefits.

​Match the definition in the left column with its correct term in the right column. Options will only be used once. -​Portion of the charge for medical services that the patient must pay

​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

Summarize the demographic characteristics of those without health insurance.

​Match the definition in the left column with its correct term in the right column. Options will only be used once. -​A predetermined fee paid per enrollee per month to the participating health care provider

A self-insured health plan describes a plan where the risk for medical costs is assumed by the patient, rather than an insurance company.

List six activities that promote health reform and that are included within the scope of dietetics practice.

Match the HMO model with its correct description. Options will only be used once. -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.

Match the definition in the left column with its correct term in the right column. Options will only be used once. -Approach to paying for health care in which insurers try to limit the use of health services, reduce costs, or both

Match the definition in the left column with its correct term in the right column. Options will only be used once. -Portion of the charge for medical services that the patient must pay

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

Match the definition in the left column with its correct term in the right column. Options will only be used once. -A predetermined fee paid per enrollee per month to the participating health care provider