Deck 9: Role of Government Agencies in Healthcare

Question 1

This government agency was originally established to prevent malaria during World War II:

A) CDC
B) FDA
C) OSHA
D) CMS

Answer 1

CDC

Question 2

Someone who purchases an insurance policy is the:

A) Dependent
B) Payer
C) Subscriber
D) Benefiter

Answer 2

Subscriber

Question 3

Programs that use financial incentives to encourage the enrollees to use care services efficiently are known as:

A) Nonprofit organizations
B) Managed care organizations
C) Preferred provider organizations
D) Preferred hospital organizations

Answer 3

Managed care organizations

Question 4

The federal agency that administers Medicare,Medicaid,and CHIP is:

A) CLIA
B) CMS
C) DOJ
D) OSHA

Question 5

In the early days of insurance,what did the government offer to employers for supplying healthcare benefits to employees?

A) Free office space
B) Subsidized employees
C) Matching funds
D) Tax breaks

Question 6

How did insurance companies guarantee they would make a profit?

A) By charging high fees
B) By choosing which patients and which treatments they would insure
C) By covering only the basic medical care
D) By increasing their rates frequently

Question 7

A health insurance plan that allows the patient to make almost all healthcare decisions independently is:

A) Fee for Service
B) Managed options
C) Free range policy
D) Service delivery policy

Question 8

The government program managed independently by each state to provide health care and medications for low-income families that meet certain criteria is:

A) Medicaid
B) Tricare
C) Champus
D) Medicare

Question 9

Information regarding food and other product recalls may be found through:

A) CDC
B) FDA
C) USDA
D) All of the above

Question 10

An insurance plan that is partially funded by an employer is a(n):

A) Group policy
B) Individual policy
C) Employer policy
D) Subscribed policy

Question 11

All laboratory testing done on humans is regulated through:

A) Clinical Laboratory Improvement Amendments
B) Joint Commission
C) Centers for Medicare
D) American Medical Association

Question 12

Which government agency is responsible for the safety of all medical devices,such as pacemakers,joint replacements,hearing aids,and contact lenses?

A) OSHA
B) EPA
C) CLIA
D) FDA

Question 13

Which insurance company started in Dallas at Baylor Hospital during the Great Depression to help bridge the gap of rising healthcare costs and Americans' decreasing ability to pay for medical services?

A) Blue Cross
B) Blue Shield
C) Medicare
D) Champus

Question 14

The government program that provides health insurance for citizens age 65 and older,those younger than 65 with certain disabilities,and all citizens with end-stage renal disease requiring dialysis or a kidney transplant is:

A) Medicaid
B) Tricare
C) Champus
D) Medicare

Question 15

The process used to determine if the future services used by the patient in terms of medical services and procedures,facilities,and practitioners are necessary,appropriate,and the most cost-effective is:

A) Periodic review
B) Physician review
C) Utilization management
D) Payment management

Question 16

Which of the following organizations started out as nonprofits in an attempt to control healthcare costs,but eventually evolved into for-profit organizations?

A) PPOs
B) HMOs
C) Tricare
D) BCBS

Question 17

The government agency that is primarily responsible for protecting the health of Americans and providing health services for those who are not fully able to take care of themselves is:

A) Children's Health Services
B) Department of Health and Human Services
C) Center for Medical Care
D) OSHA

Question 18

Workers who identify safety concerns in their place of employment and report them to the appropriate personnel are known as:

A) Snitches
B) Monitors
C) Whistleblowers
D) Identifiers

Question 19

The yearly preset amount before the insurance company pays their portion is the:

A) Premium
B) Deductible
C) Copay
D) Coinsurance

Question 20

The federal government delegates the responsibility of regulation of controlled substances,those with the potential for abuse,used in health care to the:

A) CDC
B) DEA
C) FDA
D) CLIA

Question 21

A controlled substance is one that:

A) Is controlled by the physician
B) Is subject to statutory control
C) Is counted carefully before dispensed
D) Is considered dangerous

Question 22

Managed care focuses on quality care at reduced costs often by using a ___________physician to direct the patient's overall care.

Question 23

The term ___________describes infectious agents or hazardous biological materials that present a risk or potential risk to the health of humans,animals,or the environment.

Question 24

The best idea for storing extra prescription pads in an office is to:

A) Place them in the desk drawer in the exam rooms
B) Place them in the physician's filing cabinet
C) Lock them in the nurse's station
D) Keep them at the front desk

Question 25

Medicare ___________coverage is paid through payroll taxes and thus available only to those who have worked and paid into Social Security.

Question 26

___________review is a process used to review past medical treatment already received by the patient to evaluate if the medical services were appropriate and cost-effective.
Chapter 9: Role of Government Agencies in Healthcare

Question 27

The CDC's mission is:

A) To promote health and quality of life by preventing and controlling disease,injury,and disability
B) To eradicate all communicable diseases by the year 2020
C) To regulate the administration of all vaccines
D) To discover,evaluate,and institute treatment for diseases prevalent in the United States

Question 28

The official daily government publication that outlines rules,proposed rules,and all other government notices is the:

A) Government Daily
B) Presidential Daily Report
C) Federal Register
D) Federal Publication

Question 29

In a response to rising healthcare costs,___________became popular in the 1970s and 1980s.

Question 30

The NIH is:

A) A governmental agency responsible for overseeing all healthcare facilities
B) The branch of the DHHS that regulates all medical care
C) A world-renowned research organization that provides the medical community with documented studies on many of today's most devastating diagnoses
D) The agency that has final approval for those applying for Medicare
Completion
Complete each statement.