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1) Rural areas are particularly good places for managed care implementation.
2) Currently, the states role in health policy is limited mostly to basic public health
functions.
3) Middle-class Americans have historically opposed proposals for a national health
insurance program.
4) In June 2012, the US Supreme Court ruling settled the implementation issues
concerning the ACA of 2010 .
5) Knowledge in comparative effectiveness research (CER) will grow more quickly if
new studies are undertaken.
6) People in older age groups represent a higher risk than those in lower age groups.
7) Decision making based on cost effectiveness about the use of medical technology is
more prevalent in the US than in other industrialized countries.
8) Primary care may play an important role in mitigating the adverse health effects of
income inequality.
9) Uninsured people are more likely to postpone seeking medical care, compared to
insured people.
10) It is illegal for an insurance company to sell a Medigap plan to someone who is
covered by Medicaid.
11) Most nursing home care in the U.S. is financed by Medicare.
12) Children, in general, incur higher use of hospital services than the elderly.
13) Under a payment arrangement in which physicians are paid a fixed salary and
performance-based bonuses, risk is shifted from the MCO to the physicians.
14) As the health care delivery system developed in the US, it emphasized
specialization over primary care.
15) The United States controls the diffusion of medical technology through central
planning.
16) All ambulatory care is primary care.
17) What was the main reason for initiating national health care in countries such as
Germany and England?
a.Improve the health of industrial workers
b.Ward off political instability
c.Provide access to emerging technology
d.Relieve poverty
18) What is likely to be the biggest obstacle to the delivery of cost-efficient care?
a.Government mandates for the delivery of certain types of care
b.Rationing of services by the government
c.Publics attitudes
d.Inadequacy of comparative effectiveness research
19) Because of the transition of patients between long-term care and nonlong-term care
settings, IT systems must be
a.portable
b.user-friendly
c.synchronous
d.interoperable
20) Medical care in preindustrial America had a strong _____ character.
a.scientific
b.professional
c.applied
d.domestic
21) What is the main advantage of interoperability within an electronic health records
(EHR) system?
a.Information can be transmitted over the Internet
b.Information can be safeguarded
c.Information can be coordinated with clinical practice guidelines
d.Information can be shared between physicians, pharmacists, and hospitals
22) Which of the following statement is true regarding the global healthcare workforce
crisis?
a. Developed and developing countries are alike in facing the healthcare workforce
crisis
b. Developed countries face greater challenge than developing countries in the
healthcare workforce crisis
c. Developing countries face greater challenge than developed countries in the
healthcare workforce crisis
d. None of the above
23) What is palliation?
a. Pain and symptom management
b. Psychosocial support
c. A surgical intervention
d. Bed rest
24) What is the Health Plan Employer Data and Information Set (HEDIS)?
a. A quality report card
b. A cost report card
c. A government database on health plans
d. None of the above
25) Health technology assessment in the US is conducted primarily by
a.various government agencies
b.the NIH
c.the FDA
d.the private sector
26) What perverse incentive is present in retrospective reimbursement?
a.Providers can increase their profits by increasing costs
b.Providers reduce their profits if they increase costs
c.Serving more patients would reduce profits
d.It leads to underutilization of health care services
27) Which principle of ethics requires caregivers to involve the patient in medical
decision making?
a.Paternalism
b.Fidelity
c.Beneficence
d.Autonomy
28) Utilitarianism emphasizes:
a. Happiness and welfare for the poor
b. Happiness and welfare for the deserving
c. Happiness and welfare for the most people possible
d. None of the above
29) Monitoring of physician-specific practice patterns.
a.concurrent utilization review
b.retrospective utilization review
c.case management
d.practice profiling
30) Which part of Medicare covers SNF services?
a.A
b.B
c.C
d.D
31) Under which model is an HMO relieved of the burden to establish contracts with
providers and monitor utilization?
a.Staff model
b.Group model
c.Network model
d.IPA model
32) Employer-provided health insurance benefits arose in the mid-20th century as a
result of:
a. A Supreme Court ruling that health insurance could be included in the collective
bargaining process
b. Legislation which legalized this process
c. An executive order requiring employers to provide health insurance to employees
d. None of the above
33) For what is the National Health Planning and Resources Development Act of 1974
noted?
a. The shift from cost containment to improvement of quality as the principal theme in
federal health policy
b. The shift from cost containment to improvement of access as the principal theme in
federal health policy
c. The shift from improvement of access to cost containment as the principal theme in
federal health policy
d. The shift from improvement of quality to cost containment as the principal theme in
federal health policy
34) Which of the following factors was particularly important in promoting the growth
of office-based medical practice in the postindustrial period?
a.Urbanization
b.Educational reform
c.Science and technology
d.Dependency
35) Cost-effective management of care for patients who have complex medical
conditions.
a.Case management
b.Gatekeeping
c.Utilization management
d.Managed care
36) A facility that is certified as SNF can
a.admit only Medicaid patients
b.admit only Medicare patients
c.admit both Medicare and Medicaid patients
d.only be a distinct part
37) With the growth of managed care, the balance of power in the medical marketplace
swung toward
a.providers
b.the supply side
c.the demand side
d.more regulation
38) The point at which marginal benefits equal marginal costs.
a.Flat of the curve
b.Minimum cost-efficiency
c.Optimum point
d.Equal intensity
39) What is the main advantage of group insurance?
a.More people can obtain insurance from a single insurer
b.Risk is spread out among a large number of insured
c.More comprehensive services can be covered than under an individual plan
d.The employer has to deal with only one insurance company
40) In technology assessment, what role do clinical trials play?
a.They are used for experimentation with potentially useful drugs
b.They are used for establishing the rights of participants
c.They are used for determining cost-effectiveness
d.They are used for evaluating efficacy and safety
41) Which of the following has the greatest impact on system-wide health care costs?
a.Purchase price of new technology
b.Utilization of technology once it becomes available
c.Increased hospitalizations due to overuse of technology
d.Training costs associated with new technology
42) Benchmarking of HTA organizations should be linked with
a.cost effectiveness of medical technology
b.coordination of HTA efforts across various organizations
c.standardization of HTA methods
d.evaluation of economic worth
43) Hospice services are primarily for people with:
a. Chronic illnesses
b. Rehabilitative needs
c. Terminal illnesses
d. None of the above
44) Nonphysician practitioners (NPPs) include:
a. Osteopaths
b. Dentists
c. Physician assistants
d. None of the above
45) Initially, what was the main purpose of private health insurance in the US?
a.Prevent national health insurance from taking hold
b.Provide coverage for major illnesses
c.Provide comprehensive coverage
d.Compensate for loss of income during sickness and temporary disability
46) The Flexner Report, published in 1910, reported on
a.standards for medical licensure in the US and Canada
b.standards of training in medical schools
c.rates of death in US hospitals
d.the state of medical specialization
47) Under community rating
a.premiums are based on risk rating
b.premiums are based on a groups utilization of health care services
c.high-risk individuals pay a higher premium than low-risk individuals
d.both high-risk and low-risk people are charged the same premium
48) In recent years, the quality of care in nursing homes
a.has decreased
b.has increased
c.has stayed the same
d.has been unknown
49) Why is the assessment of psychiatric illness particularly difficult in geriatric
patients?
a.Mental illness cannot be ruled out
b.The elderly often fake mental illness
c.Psychiatric illness can be intermittent
d.Comorbidities can obscure diagnosis
50) Medicare is primarily for people who meet the following eligibility requirement:
a. Elderly
b. Low-income
c. Children
d. Disabled
51) Medigap policies are sold by
a.private insurance companies
b.the government
c.HMOs
d.Medicare
52) Telemedicine technology that allows a specialist located at a distance to directly
interview and examine a patient is referred to as
a.telehealth
b.simultaneous
c.analogous
d.synchronous
