1) American beliefs and values favor the development and use of new medical
technology despite its cost.
2) Historically, outpatient care has been independent from services provided in health
care institutions.
3) Many developed nations have been able to achieve universal access through a
single-payer system.
4) All technological innovations used in the delivery of medical care increase costs.
5) Most people needing long-term care need it for more than 90 days.
6) The 2010 U.S. Census allowed respondents to choose one or more races when they
self-identify.
7) Today, the majority of health insurance exists in the form of managed care plans.
8) In recent years, the nonprofit hospital sector has continued to gain market share.
9) Whether payment for health care services is made by the government or by a private
insurance company, individual patients pay a price far higher than the actual cost of the
service.
10) State governments are required to partially finance the Medicaid program.
11) Under retrospective reimbursement, a health care organization is paid according to
a.predetermined rates
b.the number of patients served
c.the costs incurred in operating the institution
d.fees established by the organization
12) An organization ceases to exist as a separate entity and is absorbed into the
purchasing corporation.
a.Acquisition
b.Merger
c.Joint venture
d.Alliance
13) Why was Medicare Part C created?
a.To add a prescription drug benefit to the Medicare program
b.To channel beneficiaries into managed care programs
c.To provide services to children up to the age of 19
d.To extend benefits to people with end-stage renal disease
14) Which of the following is a characteristic of a national health insurance system?
a. The government finances health care through general taxes
b. Health care is delivered by private providers
c. Both a and b
d. Neither a nor b
15) All of the following are elements of the policy cycle, except:
a. Issue raising
b. Policy design
c. Policy implementation
d. Policy evaluation
16) In general, prospective payment systems establish reimbursement for
a.resources already used
b.services already provided
c.bundled services
d.costs incurred in the delivery of services
17) Should theAffordable Care Act get repealed, what provision would likely be made
to cover preexisting conditions?
a.People with preexisting conditions will remain uninsured
b.People with preexisting conditions will become Medicaid beneficiaries
c.State-based high-risk pools will cover most people with preexisting conditions
d.Insurers will have mandates to cover preexisting conditions
18) What main disadvantage does an HMO have when using the IPA model?
a.It has difficulty recruiting physicians
b.It must take on additional administrative and utilization control responsibilities
c.It is not favored by the enrollees
d.If a contract is lost, the HMO loses a large number of participating physicians
19) The limitations of market justice include:
a. Social problems are not adequately addressed
b. Society is not always protected from the consequences of ill health
c. It leads to inequitable access to health care
d. All of the above
20) The most prominent reason for the decline in the number of procedures performed
in hospitals is:
a. Most of these procedures were shifted to outpatient setting
b. Most of these procedures were deemed outdated
c. Most of these procedures were unsafe
d. Most of these procedures used technology that was too expensive
21) Crude rates refer to:
a. A specific age group
b. A specific gender
c. The total population
d. None of the above
22) The first proprietary hospitals in the United States were established by
a.business corporations
b.wealthy industrialists
c.physicians
d.religious organizations
23) What does the swing bed program allow rural hospitals to do?
a.Provide emergency services or psychiatric care
b.Use the same beds for acute care or long-term care
c.Receive partial payment from Medicare for unused beds
d.Obtain higher reimbursement for outpatient services
24) What is Gross Domestic Product (GDP)?
a. A measure of all the goods and services produced by a nation in a given year
b. A measure of all the goods and services produced by a nation in a given year, divided
by the population
c. A measure of all the goods and services produced by a nation in a given year, minus
the amount of money spent by the government
d. A measure of all the goods and services produced by a nation in a given year, divided
by the amount of money spent by the government
25) Patient activation is the lowest among people
a.insured by managed care plans
b.enrolled in a medical home
c.enrolled in Medicaid
d.enrolled in Medicare
26) What is a PRO?
a. Price Rationing Organization
b. Political Review of Outcomes
c. Peer Review Organization
d. Presidents Review of Organizations
27) What is the main intent of the Stark laws?
a.Require that personal health information be kept confidential
b.Require demonstration of cost-efficiency of new technology
c.Prohibit self-referral by physicians to facilities in which they have an ownership
interest
d.Disclosure of potential harm from a procedure or device
28) What criterion does the ACA use to classify an employer as a large employer?
a.The employer has 50 or more full-time-equivalent employees
b.The employer has 200 or more full- and part-time employees
c.The employer offers health insurance to all its employees
d.The employer has at least 100 full-time-equivalent employees
29) The inception of _____ was used as a trial balloon for the idea of
government-sponsored universal health insurance.
a.workers’ compensation
b.trade unions
c.public health
d.health care for the veterans
30) In the term, managed care, ‘manage’ refers to
a.management of utilization
b.management of premiums
c.management of risk
d.management of the supply of services
31) A service is cost-efficient when:
a. The desired health outcome is achieved
b. The patients insurance plan saves money
c. The benefit received is greater than the cost incurred to provide the service
d. None of the above
32) What payment method is used in Primary Care Case Management to reimburse
physicians?
a.Capitation
b.Discounted fees
c.Fee for service
d.Salaries
33) Which is the largest payer for home health services?
a.Medicaid
b.Out-of-pocket funds
c.Medicare
d.Private insurance
34) A disease is considered chronic if it is observed for at least how long?
a. 1 month or longer
b. 3 months or longer
c. 6 months or longer
d. 1 year or longer
35) Fee for service promoted
a.price controls
b.moral hazard
c.provider-induced demand
d.both moral hazard and provider-induced demand
36) Approximately how many Americans are uninsured?
a. 16 million
b. 26 million
c. 46 million
d. 66 million
37) What is the main use of regenerative medicine?
a.To revive an individual who is near death
b.To repair damaged genes
c.To provide substitutes for life giving products such as blood
d.To repair damaged organs and tissues
38) Regional health systems are often
a.horizontally integrated
b.vertically integrated
c.formed into virtual organizations
d.formed into alliances