Exam 27: Why the US Medical System Needs Reform Problems With Access

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whats the following terms to the appropriate description -Passed in the 1990s and decreased the percentage of uninsured children to less than 10 percent

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Children's Health Insurance Program

When ____________________ was the norm, hospitals could charge higher rates to insured patients to cover the costs of treating the uninsured.

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Fee-for-service

A business with how many or more employees that does not provide medical coverage is required to pay an assessment of $2000 per employee?

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C

whats the terms to the appropriate description. -Aimed at addressing many of the problems with the American medical care system

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What system was effective in reducing expenditures for hospital care but overall costs continued to rise because it wasn't included for outpatient care?

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whats the terms to the appropriate description. -Insurance payments do not kick in until after individuals themselves have paid for a significant amount of services

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Whats the appropriate description of the following? -Ordering more diagnostic tests and medical procedure than necessary to document in court that everything possible was done for the patient

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A Supreme Court decision allowed states to opt out of the Medicaid expansion under the ACA. In states that do not participate, who is left without healthcare coverage?

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Obamacare mandated that insurers allow children to stay on their parents' health insurance until the age of ___________________ .

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Whats the appropriate description of the following? -A flat fee paid to hospitals based on the illness category of the patient

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Obamacare required states and the District of Columbia to create ___________________ on which individuals could shop for medical insurance plans.

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Whats the appropriate description of the following? -Acts as both insurer and provider in return for a fixed monthly or annual payment

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Each year, the Medicare program pays out more money than it collects in premiums.

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States began to move ___________________ recipients into managed care plans in the hope of providing them with a higher quality of care and more continuity of care, as well as controlling costs.

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Whats the appropriate description of the following? -Patients area required to seek care from participating providers who have agreed to provide services at lower rates

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Aging of a country's population tends to raise medical costs because of the increased need for services and the more expensive nature of services for older adults.

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whats the following terms to the appropriate description -Prohibited denial of medical coverage due to pre-existing conditions

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When Oregon decided to refuse payment for organ transplants, a boy died of ___________________ due to a lack of a bone marrow transplant.

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The American healthcare system wastes considerable amounts of money in areas such as failure of care delivery and failure of care coordination.

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Which form of managed care is the most stringent because the organization has a financial incentive to preserve the health of its members?

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