1) The wellness model is built on which of the following:
a. Intervention
b. Adequate public health and social services
c. Understanding risk factors
d. All of the above
2) Supply-side rationing.
a.Curtailment in governing funding for medical research
b.Managed care
c.Curtailment in payments for new technology
d.Central planning
3) Which of these organizations was specifically created to bring management expertise
to physician group practices?
a.Virtual organizations
b.Physician-hospital organizations
c.Provider-sponsored organizations
d.Management services organizations
4) According to US law, nonprofit organizations
a.can make only a limited amount of profit
b.are tax exempt
c.cannot have a governing body
d.must pay taxes only if they are profitable
5) AnMS-DRG is a refined DRG that includes
a.patient severity
b.costs incurred in treating a patient
c.adjustment for treating patients on Medicaid
d.adjustment for readmissions within 30 days of discharge
6) _____ reimbursement is based on the assumption that health care is provided in a set
of identifiable and individually distinct units of services.
a.Bundled-fee
b.Cost-plus
c.Prospective
d.Fee-for-service
7) The Health Insurance Portability and Accountability Act requires
a.large health care organizations to switch to electronic health records
b.protection of personal health information
c.nondisclosure of personal health information
d.nontransmittal of individual health information over the Internet
8) In a free market who would pay for the delivery of health care services?
a. Numerous health insurance companies
b. Patients
c. Government
d. Multiple payers
9) What is the purpose of risk sharing with providers?
a.It makes providers immune to costs
b.It makes providers cost conscious
c.It rewards providers for quality
d.It keeps insurance premiums low
10) What is the central role of health services financing in the United States?
a.Fund health insurance
b.Underwrite medical risk
c.Support managed care
d.Balance the supply of health care professionals
11) What is an interest group?
a. A group of lawmakers within Congress with a particular area of interest
b. A group of appointed judges with a particular political view point
c. An independent, non-governmental group united by a policy area, which lobbies and
advocates its point of view to lawmakers
d. None of the above
12) To participate in the PACE program, an elderly person must
a.need only community-based long-term care services
b.be a Medicaid beneficiary
c.have been certified for nursing home placement
d.undergo preadmission screening and resident review (PASRR)
13) The ownership of Canadas health care system is best described as:
a. Private
b. Public
c. Combination of private and public
d. None of the above
14) Liberal reimbursement for a given technology will _____ innovation, diffusion, and
utilization of that technology.
a.decrease
b.have no effect on
c.increase
d.prevent
15) Which of the following is a major criticism of managed care?
a. Quality of care may be sacrificed
b. Managed care is inefficient
c. Utilization may increase
d. Managed care will worsen the physician oversupply
16) Which of the following is not true about the Patient Protection and Affordable Care
Act of 2010?
a.Not a single Republican voted for the legislation
b.Most Americans supported the legislation once they found out what was in it
c.The legislation was supported by the AMA
d.The US Supreme Court upheld the individual mandate
17) A managed care organization functions like
a.a provider
b.an insurer
c.a regulator
d.a financier
18) Medicare and Medicaid programs were created for population groups regarded as
a.elderly
b.vulnerable
c.underinsured
d.politically active
19) Maintenance rather than restoration of function is specifically the domain of
a.custodial care
b.restorative care
c.skilled nursing care
d.personal care
20) Review of overutilization or underutilization is undertaken as part of
a.concurrent utilization review
b.retrospective utilization review
c.prospective utilization review
d.case management
21) The ACA specifies that ______ can be covered under their parents health insurance
plans.
a.Children attending college
b.Children who are unemployed
c.Children up to the age of 19
d.Children under the age of 26
22) What is gatekeeping?
a. The process by which patients are denied needed care
b. The process by which primary care physicians refer patients to specialists
c. The concept that specialists use more diagnostic tests than primary care physicians
d. The idea that patients should be allowed to choose their own doctors
23) Which of the following is an example of a secondary care service?
a. Rehabilitation
b. Surgery
c. Consultation
d. All of the above
24) Evaluation of the appropriateness of medical technology.
a.Cost-effectiveness
b.Health technology assessment
c.Clinical trial
d.Efficacy
25) What is the key factor contributing to the passage of the ACA
a. Large number of Americans who are uninsured
b. High cost of healthcare expenditures
c. Declining quality of care
d. Democratic control of the Congress
26) The insurance arm of military health care is called
a.CHAMPUS
b.VISN
c.VHA
d.TRICARE
27) The US Supreme Court decision in Olmstead v. L.C. directed US states to
a.deinstitutionalize people with mental illness
b.achieve parity in the delivery of physical and mental health services
c.increase funding for mental asylums
d.improve living conditions in mental asylums