1) In a free market, multiple patients and providers act interdependently.
2) A nonprofit hospital is prohibited by law from making a profit.
3) Technology has been credited with the overall reduction in the average length of
inpatient hospital stays.
4) In the 1990s, managed care was widely credited for enabling small employers to
offer health insurance coverage to their employees.
5) The number of active physicians has steadily increased over time.
6) The ACA of 2010 places severe limitations on new physician-owned hospitals and on
the expansion of existing ones.
7) Facility licensing regulations are consistent nationwide.
8) There is little distinction between the terms outpatient and ambulatory.
9) When bills for compulsory health insurance were introduced in several states, they
were opposed by labor unions.
10) Many Hispanic families who immigrated to the U.S. may not qualify for Medicaid.
11) In a skilled nursing facility, Medicare covers only short-term rehabilitation or
convalescence.
12) Cultural beliefs have very little to do with health.
13) Wage freezes during World War II helped promote employer-based health insurance
in the United States.
14) Medicare only pays for short-term stays in an adult foster care home.
15) What type of integration is represented by a chain of nursing homes?
a.Vertical integration
b.Network
c.Horizontal integration
d.Diversification
16) What is the purpose of clinical practice guidelines?
a. To provide a plan to manage a clinical problem based on evidence or consensus
b. To lower costs
c. To improve outcomes
d. All of the above
17) The most stringent requirements of premarket approval regarding safety and
effectiveness apply to _____ devices
a.Class I
b.Class II
c.Class III
d.Class IV
18) Children under age 18 comprise approximately what percentage of the homeless
population?
a. 10%
b. 20%
c. 40%
d. 60%
19) What is the main answer sought in comparative effectiveness research?
a.How can best practices be adopted in clinical care delivery?
b.What works best for which patients?
c.What new research should be undertaken to improve quality?
d.Why a particular treatment did not produce expected results?
20) Which of the following branches of government is a supplier of policy?
a. Executive
b. Legislative
c. Judicial
d. All of the above
21) The principal source of funding for graduate medical education is:
a. Medicaid
b. Medicare
c. Private funds
d. State grant programs
22) Most uninsured adults are employed but are not covered because:
a. Their employer does not offer health benefits
b. They do not qualify because they do not work an adequate number of hours or have
not been with the employer long enough
c. They cannot afford to pay their portion of the premium or purchase insurance on their
own
d. Any of the above could be a reason
23) Which racial/ethnic group is least likely to use mammography?
a. White
b. Black or African American
c. Asian or Pacific Islander
d. Hispanic
24) In 2010, Asian Americans accounted for approximately what percent of the U.S.
population?
a.2%
b.4%
c.6%
d.10%
25) PPOs were created by ____ in response to HMOs’ growing market share.
a.physicians
b.insurance companies
c.hospitals
d.independent contractors
26) A long term-care facility must be certified in order to
a.operate as a nursing home
b.comply with national fire and safety codes
c.obtain deemed status
d.admit Medicare and/or Medicaid patients
27) Which racial/ethnic group is growing the fastest?
a. White
b. Black or African American
c. Asian or Pacific Islander
d. Hispanic
28) A copayment is generally paid
a.once a year
b.each time the insured receives health care services
c.in form of a deduction from payroll checks
d.by the employer to purchase health insurance on behalf of each covered employee
29) ALOS is an indicator of
a.use of hospital capacity
b.frequency of use
c.severity of illness
d.access
30) Reimbursement is associated with which of the quad functions?
a.Financing
b.Insurance
c.Delivery
d.Payment
31) The role of the government in the U.S. healthcare system is:
a. Regulator
b. Major financer
c. Medicare and Medicaid reimbursement rate-setter
d. All of the above
32) Hospitals in the United States evolved from
a.almshouses
b.sickhomes
c.pesthouses
d.inns
33) In long-term care case management, services of freestanding case managers are
used in the _____ model.
a.integrated care
b.brokerage
c.managed care
d.consolidated
34) Most institutionalized long-term care patients have a diagnosis of dementia.
35) Why in the preindustrial period most people could not afford the services of a
qualified physician?
a.Professional fees were too high
b.The economic cost of travel was too high
c.Private health insurance was too expensive
d.Most people relied on home remedies
36) Medical tourism will likely increase with the growth of
a.health insurance exchanges
b.the phenomenon referred to as brain gain
c.the national debt in the United States
d.high-deductible health plans
37) Outpatient care accounts for what percent of gross patient revenue for all US
hospitals?
a.10%
b.20%
c.40%
d.60%
38) Under the DRG method of reimbursement, a psychiatric hospital is paid
a.a per-diem rate based on psychiatric DRGs
b.a case-specific rate based onpsychiatric DRGs
c.a fixed amount per admission
d.an amount determined by resources used in treating a patient
39) Which HMO model is likely to provide the greatest control over the practice
patterns of physicians?
a.Staff model
b.Group model
c.Network model
d.IPA model