Deck 13: Health Care System

Question 1

Chiropractors are the most often used nonallopathic providers.

Answer 1

True

Question 2

The major determinants of access to health care in the United States are insurance coverage and the generosity of that coverage.

Answer 2

True

Question 3

The Joint Commission is the predominant organization responsible for accrediting health care facilities.

Answer 3

True

Question 4

Managed care is a system of health care delivery that focuses on

A)efficiency
B)control over utilization
C)the price of services
D)all of the above

Question 5

The Hill-Burton Act provided substantial funds for medical education.

Question 6

Health care delivery in the United States is very similar to other developed countries.

Question 7

Laboratory technicians are considered to be allied health care professionals.

Question 8

Health care workers who have the specialized education and legal authority to treat any health problem or disease are independent providers.

Question 9

The largest amount of all health care workers today is employed in nursing/residential facilities.

Question 10

Self-care has been used historically in America,and is still used today.

Question 11

The type of health care practice that incorporates interventions aimed at disease prevention and health promotion is

A)population-based public health practice
B)medical practice
C)long-term practice
D)end-of-life practice

Question 12

In the third-party payment system,the provider is the

A)first party
B)second party
C)third party
D)none of the above

Question 13

Public hospitals are often found in small,rural communities.

Question 14

The internship year is the second year of a medical residency program.

Question 15

Nurses are an example of limited care providers.

Question 16

Restorative care is a component of

A)population-based public health practice
B)medical practice
C)long-term practice
D)end-of-life practice

Question 17

The spectrum of health care delivery refers to the various types of care.

Question 18

A clinic is a facility in which two or more physicians practice as a group.

Question 19

In the third-party payment system,the patient is the

A)first party
B)second party
C)third party
D)service

Question 20

Of employed registered nurses,the largest majority work in offices of physicians.

Question 21

Those lacking the financial ability to pay for their own medical care are referred to as

A)the working poor
B)medically indigent
C)exclusions
D)CHIP recipients

Question 22

A written agreement between a private insurance company and an individual or group of individuals to pay for certain health care costs during a certain time period in return for regular,periodic payments is a health insurance

A)policy
B)co-insurance
C)copayment
D)deductible

Question 23

Explain how Kissick's triangle represents the major issues in health care in the United States.

Question 24

Provide three common features of CAM.

Question 25

The government insurance program that specifically targets low-income children who are ineligible for other insurance coverage is

A)Medicaid
B)CHIP
C)Medicare
D)Affordable Care Act

Question 26

What are the four sources of payment for the U.S.health care bill?

Question 27

A negotiated set amount that a patient pays for certain services is a

A)premium
B)copayment
C)fixed indemnity
D)deductible

Question 28

What are four reasons people may purchase long-term care insurance?

Question 29

What is the difference between full-service and limited-service hospitals?

Question 30

Explain how self-funded insurance programs work.

Question 31

The part of Medicare that is prescription drug coverage is

A)Part A
B)Part B
C)Part C
D)Part D

Question 32

What was the basic goal of the Affordable Care Act?

Question 33

An example of an allied health care professional is a

A)physician
B)nurse
C)dietician
D)naturopath

Question 34

What are the four parts of Medicare,and what do they cover?

Question 35

Medicare is available to those

A)60 years and older
B)with permanent liver failure
C)with certain disabilities
D)none of the above

Question 36

The part of Medicare that is the hospital insurance portion is

A)Part A
B)Part B
C)Part C
D)Part D

Question 37

List and explain at least three components of quality health care.

Question 38

What does "national health insurance mean?"

Question 39

The type of managed care that buys fixed-rate health services from providers and sells them to consumers is

A)EPOs
B)HMOs
C)PPOs
D)IPAs

Question 40

The amount of expenses that the beneficiary must incur before the insurance company begins to pay for covered services is the

A)deductible
B)copayment
C)exclusion
D)fixed indemnity