Deck 4: Structure, Systems and Stakeholders

Question 1

Which is the correct order in which US health-care systems evolved:

A) Industrial, Pre-industrialized, Corporate Eras
B) Preindustrial, Industrial, Corporate Eras
C) Corporate, Preindustrial, Industrial Eras
D) None of the Above

Answer 1

B

Question 2

Formalized hospital systems were in evidence beginning in the:

A) 1870's
B) 1880's
C) 1900's
D) 1980

Answer 2

B

Question 3

A person claiming to be an 1800's physician would have received what type of training?

A) University Education
B) Veterinary Medical Training
C) Apprenticeship
D) Clinical Training in a hospital or clinic

Answer 3

C

Question 4

Which is NOT a factor in improvements in quality of medical training in mid-to late 1880's?

A) Formation of American Medical Association (AMA)
B) Implementation of licensing laws
C) Formation of the Association of American Medical Colleges
D) Lowered tuition and raised wages.

Question 5

The first attempt to create a national health care insurance model as undertaking by President:

A) Franklin D. Roosevelt
B) Theodore Roosevelt
C) Barack Obama
D) Donald Trump

Question 6

Medicare is designed for the ____ while Medicaid covers:

A) Elderly; poor
B) Poor; elderly
C) Employed; Unemployed
D) Unemployed; Employed

Question 7

The object of the Health Maintenance Organization Act of 1973 was to:

A) Encourage states to cover medical costs
B) Encourage US population to sign up for Medicare/ Medicaid
C) Encourage employers to offer prepaid medical plans
D) Encourage employers to pay employee medical bills

Question 8

In 1973, Medicare began to cover all but which of the following:

A) Poor, unemployed
B) Nonelderly disabled people
C) Those with end-stage renal disease
D) Those needing dialysis and/or kidney transplants

Question 9

The "bedrock assumption" of the Clinton Administration healthcare plan proposal was:

A) Tax breaks for employers
B) Combining Medicare with Medicaid into 1 entity
C) Reduced union-supported insurance policies
D) All Americans guaranteed health coverage that could not be taken away

Question 10

The Health Security Act strongly emphasized:

A) Preventative health care.
B) Increase in diagnostic testing
C) Evidence-based practices
D) Development of new statin drugs

Question 11

Which of the following industrialized nations DOES NOT have universal health care?

A) Great Britain
B) Australia
C) Italy
D) United States of America

Question 12

Which health coverage is the most commonly seen in the US?

A) Private pay
B) ACA recipients
C) Private health insurance
D) Medicaid

Question 13

Why is employer-provided insurance cheaper?

A) Risk is spread over the group
B) Risk is confined to individuals
C) There is no risk
D) Employer assumes all risk for keeping employees healthy

Question 14

Health insurance benefits purchased through employers ___ taxed.

A) Is
B) Is not

Question 15

Self-insurance is common in ______.

A) Small companies
B) Rural communities
C) "Mom-and-Pop" businesses
D) Large Companies

Question 16

Common employer-based insurance that is popular due to low premiums, no payment/reimbursement until deductible is reached is known collectively as:

A) Medicare/Medicaid
B) HCHP
C) ACA
D) Private Pay

Question 17

____ is paid in full in HDHP before deductible is met:

A) Diagnostic tests
B) Preventative services
C) Prescriptions
D) ER Visit

Question 18

Medicare covers individuals _____ and over in age:

A) 60
B) 82
C) 65
D) 67.5

Question 19

Medicare Part ___ covers prescription drugs/outpatient medications.

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

Question 20

Medicare Part ___ covers additional overage through MCO's.

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

Question 21

To qualify for Medicare Part A, one must have paid into Medicare taxes for ___ years.

A) 5
B) 10
C) 15
D) 20+

Question 22

Outpatient expenses are covered by Medicare Part ____.

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

Question 23

RBRVS and RVU's are associated with ____ reimbursement.

A) Strategy based payments
B) Premium payment options
C) Labor Union insurance policies
D) Pay only preventative costs

Question 24

Medicaid is a ____-run program.

A) Federally
B) Locally
C) State
D) County

Question 25

The Military Health System is operated through:

A) ACA
B) Medicare/Medicaid Center
C) DoD
D) USDA/FDA

Question 26

The insurance that is associated with the Military Health Service is _____.

A) ACA
B) Medicare
C) TRICARE
D) NIFA

Question 27

CHIPS covers ____ as a population.

A) Children
B) Elderly, poor and disenfranchised
C) 20-50-year-old people
D) Mentally ill adults

Question 28

____ constitutes the largest group of healthcare providers in the US:

A) Dentists
B) Nurses
C) PA's
D) Physicians

Question 29

Which is NOT regarded to be an "advanced practitioner"?

A) PA's
B) Clinical Nurse Managers
C) Nurse-practitioners
D) Dental Technicians

Question 30

_____ introduced the idea of Community Health Workers or CHW's.

A) USDA
B) AMA
C) DoD
D) WHO

Question 31

The largest non-profit IDS is _____.

A) St. Jude's Children's Hospital
B) Shriners Hospital
C) Kaiser Permanente
D) Blue Cross, Blue Shield

Question 32

Kaiser Permanente operates in ____.

A) DC and 10 states
B) DC and 15 states
C) DC and 9 states
D) District of Columbia only

Question 33

____ has a preferred provider approach, capitation and employs providers.

A) MCO's
B) ACO's
C) ADA's
D) ACA's

Question 34

The ACA originally established ________ as a model of care and as a Medicare category.

A) MCO's
B) ACO's
C) ADA
D) ACA

Question 35

Regarding the VA, which is INCORRECT?

A) Founded in 1930
B) Cares for active-duty military only
C) Cares for active-military and honorably discharged
D) Funded at federal level

Question 36

The VA is made up of ___ Veterans Integrated Service Networks:

A) 5
B) 12
C) 21
D) 25

Question 37

Providers for the VA are:

A) Independent contractors
B) Do not have to have a medical license
C) Are age limited to being before 50 years-of-age
D) Employed by the federal government

Question 38

Federally-qualified health centers were formed by President:

A) Kennedy
B) Johnson
C) Nixon
D) Obama

Question 39

The most important stakeholder in healthcare systems are:

A) Physicians
B) Insurance companies
C) Elderly
D) Patients/Consumers