HSM 410 Midterm Exam

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HSM 410 Midterm Exam 
(TCO 1) Which statement most accurately describes the relationship between health…

 

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HSM 410 Midterm Exam

HSM 410 Midterm Exam

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(TCO 1) Which statement most accurately describes the relationship between health insurance and health?

Compared with the insured person, the uninsured tend to be diagnosed at later stages of life-threatening illnesses. (Chapter 3, pg. 21-22.)

Having health insurance has no impact on a person’s overall health. Genetics and lifestyle choices are the only factors proven to impact health.

In an effort to avoid high-cost hospitalizations, the uninsured are more likely to practice health-maintenance behaviors than those with insurance.

People who have health insurance display a 25% increased risk of dying when compared to the uninsured.

(TCO 2) Define health policy.

Legislation that governs Medicare and Medicaid

Current and proposed legislation that governs the actions, decisions, and behaviors that affects the health of a society (Answer located in Week 1 Lecture.)

Proposed bills that govern health insurance

Universal healthcare

(TCO 3) Regressive payments are ____________.

The ratio of payment to income that is the same for all classes.

Payments that take a falling percentage of income as income increases. (Chapter 2, pg. 14.)

Payments that take a rising percentage of income as income increases.

Payments that take a rising percentage of income as income increases.

(TCO 4) Which of the following would be considered a painless cost control?

Eliminating an outdated procedure (Answer located on page 93.)

Increasing administrative fees

Increasing administrative fees

Encouraging prescribing of brand name medications

(TCO 1) What are non-financial barriers to healthcare?

Language, lack of insurance coverage, availability of services

Literacy, culture, factors of gender and race (Chapter 3, pg. 24.)

Transportation, language, employment

Inability to access care, culture, insurance coverage

(TCO 3) Which of the following are modes of paying for healthcare?

Capitation, fee-for-service, and salary

Out-of-pocket payments, individual private insurance, employment-based private insurance, and government financing (Chapter 2, pg. 5.)

Private insurance and government financing

Private insurance and government financing

(TCO 2) For the last 25 years, what has been the fundamental conflict between purchasers and the healthcare industry?

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For the last 25 years, the purchasers wish to reduce, and the health care industry to increase, the number of…

(TCO 4) What are the three major forms of managed care?

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The three major forms of managed care are: 1. Fee-for Service Reimbursement with Utilization Review – This is the…

(TCO 2) Does an HMO promote the regionalized or dispersed model of care? How?

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HMOs promote regionalized model of care considering that they necessitate the…

(TCO 4) Choose one payment method and discuss how an insurance company can transfer financial risk to a provider and the amount of risk involved for the provider.

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Payment per patient or capitation is monthly payments made to a physician for each patient signed up to receive…

(TCO 3) Why has cost containment become such a focus of the American public? Give examples of current cost containment measures commonly used.

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The cost of health and healthcare in the U.S. has been highly visible topic for consumers, employers, state and federal policymakers and….

HSM 410 Midterm Exam

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