1) Men report more chronic illness than women.
2) Moral hazard has to do with insured patients demand for health care services.
3) Disease management is highly individualized.
4) Medicare will not meet the growing need for long-term care services.
5) Research shows that prospectively set bundled payment methods are effective in
reducing health care spending without significantly affecting quality of care.
6) Long-term care services for the elderly are covered under Medicare.
7) Therapeutic services in long-term care are rendered by a physician.
8) Large hospitals do not realize efficiencies due to economies of scale.
9) The predominant users of long-term care services are the elderly.
10) The emergence of PPOs was triggered by competition between HMOs and
commercial insurance companies.
11) Medicaid recipients are classified as medically uninsured.
12) More women than men will suffer from major depression in their lifetimes.
13) Managed care increased the rate of growth in health spending between 1993 and
2000 .
14) Capitation is a payment mechanism in which all health care services are included
under one set fee per covered individual.
15) With the passage of ACA of 2010, all Americans will soon have health insurance
coverage.
16) Black Americans are more likely to be economically disadvantaged than white
Americans.
17) In a single-payer system, the primary payer usually is an insurance company.
18) Fee-for-service reimbursement favors specialist practices.
19) The proliferation of health care delivery through managed care created a decreased
demand for primary care physicians.
20) Which of the following is not a type of prospective reimbursement methodology?
a.Ambulatory patient classification
b.Diagnosis-related groups
c.Case mix
d.Cost-plus
21) The SMI Trust Fund is for
a.Part A
b.Part B
c.Parts A and B
d.Parts B and D
22) The main difference between Clinical Nurse Specialists (CNSs) and Nurse
Practitioners (NPs) is:
a. CNSs work in hospitals, and NPs work mainly in primary care settings
b. NPs work mainly in hospitals and CNSs work mainly in primary care settings
c. CNSs deliver babies and NPs do not
d. NPs deliver babies and CNSs do not
23) Fill in the blank: The distinction between predisposing and enabling conditions can
be applied to assess the _______ of a health care system.
a. cost
b. equity
c. efficiency
d. effectiveness
24) Adverse selection makes health insurance less affordable for
a.those in poor health
b.those covered by public insurance
c.those in good health
d.high-risk individuals
25) Medicaid is primarily for people who meet the following eligibility requirement:
a. Elderly
b. Low-income
c. Children
d. Disabled
26) Which of the following is a health policy challenge faced by state governments?
a. Protecting public health
b. Subsidizing costs of caring for the uninsured
c. Financing health services for the poor
d. All of the above
27) What is the main drawback of a living will?
a.It cannot cover all possible situations
b.The patient’s agent may not act in the patient’s best interest
c.The person formulating a living will must have a court appointed guardian
d.It becomes invalid when the patient becomes incompetent
28) Which countrys health care system is founded on the principles of gatekeeping?
a. UK
b. US
c. Australia
d. China
29) The use of fee-for-service reimbursement
a.has been eliminated
b.has been greatly reduced
c.has been increased
d.has not been affected by innovative methods
30) Supplier-induced demand is created by:
a. Patients
b. Providers
c. Health insurance companies
d. The government
31) What does CON stand for?
a. Certificate of Need
b. Certificate of Nursing
c. Certificate of Naturopathy
d. Certificate of Nationality
32) How are preexisting medical conditions covered under the Affordable Care Act?
a.They will continue to be covered under a special federal program
b.States are mandated to have risk pools to cover preexisting conditions
c.Private insurance plans have to cover them starting 2014
d.There is no provision in the law to cover preexisting conditions
33) Which particular skill is fundamental to the delivery of patient-centered care?
a.Communication
b.Decision-making
c.Coordination
d.Analytical
34) The Newborns’ and Mothers’ Health Protection Act of 1996 prohibits a health plan
to offer less than _____ hours of inpatient stay following a Caesarean section.
a.48
b.72
c.96
d.120
35) To be called a hospital, a facility must have at least ____ beds.
a.3
b.6
c.12
d.18
36) Under the Hill-Burton Act, federal grants were given on the basis of
a.bed-to-population ratios
b.poverty ranking for each state
c.number of hospital beds already in existence
d.hospital size needed to adequately serve each community
37) The number of specialists is increasing because:
a. Demand for specialists services is high
b. The development of medical technology
c. Specialists earn more than primary care physicians
d. All of the above
38) One goal of ______ in pharmaceutical management is to change physicians future
prescribing habits if necessary.
a.concurrent utilization review
b.retrospective utilization review
c.prospective utilization review
d.case management
39) What has been identified as one of the main reasons for the shortage of physicians
who are trained in geriatrics?
a.Lack of interest among medical students
b.Shortage of faculty in colleges and universities
c.Lack of government initiatives
d.Lack of demand
40) The asynchronous form of telemedicine uses _____ technology.
a.store-and-forward
b.access-when-needed
c.delayed-access
d.forward-and-retrieve
41) The ‘doughnut hole’ in Medicare prescription drug coverage
a.applies after a beneficiary has fully met the deductible
b.suspends the payment of monthly premiums
c.is designed to suspend benefits if monthly premiums are not paid
d.provides no benefits until the beneficiary qualifies for the catastrophic level
42) How has Medicaid created a two-tier system of medical care delivery in the US?
a.Many physicians do not serve Medicaid patients
b.Only the poor are insured under the Medicaid program
c.Funding for the program is shared by both federal and state governments
d.The program is heavily regulated
43) The delivery of medical care in preindustrial America was governed mainly by
a.free market conditions
b.collusion among providers
c.professionalization of medical care
d.high barriers to entry
44) In the US, public health and private practice of medicine developed separately
because
a.Americans favored private delivery of medical care over public health
b.physicians were skeptical of the government taking control of medical practice
c.a public health infrastructure was lacking
d.the practice of public health was not based on scientific methods
45) How does risk adjustment affect payments to managed care plans?
a.Risk adjustment shifts risk from the payer to the MCO
b.Risk adjustment takes into account the enrollees health status
c.Risk adjustment provides an incentive for improving quality
d.Risk adjustment reduces out-of-pocket costs for the enrollees
46) Who employs the physicians in the group practice model?
a.The HMO
b.The group practice
c.The IPA
d.The PPO