Deck 3: The Rest of the Story: Policy Power Dynamics, Social Determinants and the Role of States

Question 1

State regulation of insurance includes:

A) Rooted in State sovereignty (U.S. Constitution, Amendment 10)
B) Two Supreme Court decisions with opposite rulings
C) The McCarran-Ferguson Act
D) All of the above

Answer 1

D

Question 2

Which of the following provider groups have been the target of Any Willing Provider and Freedom of Choice Laws?

A) Physicians
B) Hospitals
C) Pharmacies
D) DME providers

Answer 2

A,B,C

Question 3

Which of the following statements about patient autonomy is incorrect?

A) Evolved since the middle of the 20th century
B) An unintended consequence of advanced medical technology
C) Culminated in the Cruzan case
D) Resulted in passage of the Patient Rights and Self Determination Act of 1990

Answer 3

A

Question 4

State healthcare legislation includes all of the following except:

A) Any Willing Provider and Freedom of Choice legislation
B) ERISA
C) Scope of practice laws
D) Certificate of Need laws

Question 5

Which of the following statements about substance abuse and mental health is incorrect?

A) Deinstitutionalization occurred through the Community Mental Health (CMH) Act of 1963 (PL 88-164)
B) Outpatient mental health treatment is coordinated through local Community Mental Health organizations
C) The Substance Abuse and Mental Health Services Administration fulfills its mission "to reduce the impact of substance abuse and mental illness in America's communities" through Community Mental Health Organizations
D) Permanent parity was established with the CMH Act of 1963 and has been maintained since them

Question 6

Which of the following statements about social determinants of health are correct?

A) Defined as the conditions in which people are born, grow, live, work and age
B) Administrators and legislators can influence the social determinants of health through community development and legislation
C) Individual behaviors can be influenced by how lifestyle activities are incented or disincented
D) Education has been linked to decreased mortality, decreased incidence of chronic illness, and increased self-reported health status

Question 7

Which of the following statements about power is NOT true?

A) Power is the ability to control and allocate resources.
B) Resources controlled by power include: money, people, and political.
C) Physician's power has positively escalated over the past 50 years.
D) President Johnson exhibited the effective use of administrative and legislative power during the legislative development and passage of Medicare and Medicaid

Question 8

The McCarran-Ferguson Act (PL15) reaffirms the Federal government as the primary insurance regulator.

Question 9

Since passage of the McCarran-Ferguson Act (PL15), the Federal government has incrementally "chipped" away at state sovereignty over insurance regulation.

Question 10

Approximately two-thirds of all Any Willing Provider and Freedom of Choice Laws have been enacted since 1990.

Question 11

Public health focuses on threats to the health of the general population.

Question 12

Certificate of Need laws have been uncontroversial and effective at controlling the increasing costs of healthcare services.

Question 13

The trend in scope of practice laws has been expansion of the authority for physician extenders to diagnose and treat.

Question 14

Discuss the establishment of insurance regulatory powers by the state and how the evolution of these powers demonstrates how our government is designed to perform.

Question 15

Discuss the establishment of public health in the United States.

Question 16

Discuss the evolution and current state of the provision of mental health services.

Question 17

Discuss the role of the social determinants of health in the health paradigm and how legislation or rules can be used to foster their inclusion.

Question 18

Briefly describe the policy process and how a public problem gets defined and moves through the process to become a law.

Question 19

Discuss how health policy and organizational structure are influenced by power.