DEVRY HSM410 midterm exam

Question 1. Question : (TCO 1) Which of the following are potential health outcomes of the uninsured?

Unavoidable hospitalizations

Higher mortality rates

High rates of hypertension

All of the above (Answer located on pages 21-22 in textbook.)

Points Received: 5 of 5

Comments:

Question 2. Question : (TCO 2) Which of the following are stakeholders in healthcare policy?

Individuals, businesses, consumers, and purchasers(Answer located on page 193 in textbook.)

Purchasers, medical suppliers, providers, and businesses

Providers, hospitals, physicians, and insurers

Points Received: 0 of 5

Comments:

Question 3. Question : (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.

a set fee regardless of income.

Points Received: 5 of 5

Comments:

Question 4. Question : (TCO 4) Fee-for-service reimbursement is different than the other units of payment for healthcare. This statement is:

true because all other forms of reimbursement group together several services into one payment. (Chapter 4, pg. 31.)

true because it is the oldest and simplest form of reimbursement for care provided.

false because the Medicare/Medicaid systems reimburse healthcare providers in the same method as fee for service.

false because the per diem payment to hospitals method pays for services on an "as-needed" basis.

Points Received: 5 of 5

Comments:

Question 5. Question : (TCO 1) What is a category of underinsurance?

Limits to insurance coverage

Gaps in Medicare coverage

Lack of coverage for long-term care services

All of the above (Chapter 3, pg. 23.)

Points Received: 5 of 5

Comments:

Question 6. Question : (TCO 3) In the 1990s, the push for cost containment changed how physicians and hospitals are paid. The changes:

replaced fee-for-service payments with prospective payment methods.

bundled services into one payment to shift risk away from payers.

had payment be negotiated between providers and payers.

All of the above (Chapter 4, pg. 40.)

Question 1. Question : (TCO 2) For the last 25 years, what has been the fundamental conflict between purchasers and the healthcare industry?

Question 2. Question : (TCO 4) List the methods of hospital payment.

Question 3. Question : (TCO 2) Does an HMO promote the regionalized or dispersed model of care? How?

Question 4. Question : (TCO 4) What is the concept of patient cost sharing? Is it a painless form of cost control? For whom?

Question 5. Question : (TCO 3) Why has cost containment become such a focus of the American public? Give examples of current cost containment measures commonly used.