Deck 11: Access, the Uninsured Health Policy

Question 1

Which of the following statements is NOT true about access to health services?

A) Access to health services is not linked to payment
B) Access to health services is linked to payment
C) Access to health services is linked to geographic location
D) Access to health services is linked to income level
E) Access to health services is linked to racial or ethnic demographics

Answer 1

A

Question 2

Which of the following statements about access and health policy in the 20^th century is/are TRUE?

A) Scientific and technological advancement that increased cost resulted in decreased access
B) Scientific and technological advancements produced higher quality services and resulted in increased demand
C) The norm of possession of medical insurance equating to access to healthcare services developed
D) During the end of the 20^th century USA health policy focused on cost control, disparities, and uninsured
E) All of the above

Answer 2

E

Question 3

Which of the following statements about disparities of care is/are TRUE?

A) Since 2003, AHRQ has annually reported on disparities of care
B) Since 2003, AHRQ has reported significant improvement (reduction) in disparities of access
C) The primary characteristic of disparities of access is low socioeconomic status
D) A and B
E) A and C

Answer 3

E

Question 4

Which of the following is TRUE about vulnerable populations?

A) Vulnerable populations are the sole focus of medical legislation
B) Vulnerable populations have unfettered access to medical care
C) Vulnerable populations have been the primary focus of medical legislation
D) Vulnerable populations only include those who cannot afford to pay for health services
E) Vulnerable populations have equal access to health services through nongovernmental providers

Question 5

Which of the following statements is NOT a characteristic of the uninsured?

A) A small portion of the uninsured are of substantial economic means and view purchase of health insurance as a poor economic choice
B) About one-half of the uninsured are acutely uninsured, between jobs, and will have a job and be insured in 6 months
C) About one-half of the uninsured are chronically uninsured and in low paying jobs with little chance of health insurance in the future
D) A majority of the uninsured do not work
E) A majority of the uninsured have or are seeking regular employment

Question 6

Which of the following statements about FQHC's is/are TRUE?

A) FQHC's began in 1965 as Neighborhood Health Centers
B) FQHC's transitioned through several organizational changes over 3 decades with their current form emanating from the Health Center Consolidation Act of 1996
C) FQHC's target low-income populations
D) FQHC's are funded by federal grants through section 330 of the Public Health Service Act
E) All of the above

Question 7

Which of the following statements align with geographic access barriers?

A) Align with racial / ethnic barriers
B) Greater in urban than rural areas
C) Frequently addressed through the establishment of FQHCs and health provider loan payment programs
D) A and B
E) A and C

Question 8

Which of the following Congressional actions was NOT intended to address geographically underserved areas?

A) Defining Medically Underserved Areas (MUA) and Medically Underserved Population (MUP)
B) Passage of the 1975 Special Health Revenue Sharing Act
C) Passage of the Conrad J-30 Visa Program
D) Passage of the Health Center Consolidation Act
E) Passage of the Medicare Modernization Act

Question 9

Complete the following sentences.
The concept of community benefit allowing nonprofit, community hospitals to maintain tax free status was codified in __________. Chronicling of community benefit by community hospitals is __________ defined and the responsibility of __________. In 2004, the Senate, CHS, and VHA worked __________ to develop community benefit planning and reporting standards resulting in IRS schedule __________. Community benefit rules codified in PPACA and HCEARA require IRS to use these rules as a __________.

A) 1913 - poorly - the IRS - in simultaneous union - starting point
B) 1969 - poorly - HRSA - disjointedly - end point
C) 1969 - poorly - the IRS - in simultaneous union - starting point
D) 1913 - well - HRSA - disjointedly - starting point
E) 1969 - poorly - the IRS - simultaneous union - end point

Question 10

What are the access trends over the past two centuries?

Question 11

How has legislation attempted to improve access?

Question 12

How do we define and provide care for vulnerable populations?

Question 13

How has access to care legislation driven the development of health service organizations.

Question 14

How can healthcare executives influence access to care legislation?