Deck 7: An Overview of Us Health Care Delivery

Question 1

The central agency that delivers health care in the United States is Medicare.

Answer 1

False

Question 2

For most privately insured Americans, health insurance is ________; that is, their employers finance health care as a fringe benefit.

Answer 2

employer-based

Question 3

Compare and contrast Medicare, Medicaid, and CHIP and provide at least one example of people who can benefit from each program.

Answer 3

Medicare, Medicaid, and CHIP are all programs administered by the federal government. Medicare covers senior citizens and certain disabled individuals; Medicaid covers people who cannot pay for health care; and CHIP provides health care for children from low-income families.

Question 4

Why does cost containment remain an elusive goal in U.S. health services delivery?

Question 5

What are the two main objectives of a health care delivery system?

Question 6

Name the four basic functional components of the U.S. health care delivery system. Which role does each play in the delivery of health care?

Question 7

What is the primary reason for employers to purchase insurance plans to provide health benefits to their employees?

Question 8

Why is it that, despite public and private health insurance programs, some U.S. citizens are without health care coverage?

Question 9

What is managed care?

Question 10

Why is the U.S. health care market referred to as "imperfect"?

Question 11

Discuss the intermediary role of insurance in the delivery of health care.

Question 12

Who are the major players in the U.S. health services system? What are the positive and negative effects of the often conflicting self-interests of these players?

Question 13

Which main roles does the government play in the U.S. health services system?

Question 14

Why is it important for health care managers and policymakers to understand the intricacies of the health care delivery system?

Question 15

What is the difference between national health insurance (NHI) and a national health system (NHS)?

Question 16

What is socialized health insurance (SHI)?

Question 17

Provide a general overview of the Affordable Care Act. What is its main goal?