Deck 27: Why the US Medical System Needs Reform Problems With Access
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Deck 27: Why the US Medical System Needs Reform Problems With Access
1
What system was effective in reducing expenditures for hospital care but overall costs continued to rise because it wasn't included for outpatient care?
A) Fee-for-service
B) Diagnosis-related group
C) Preferred provider organizations
D) Health maintenance organization
A) Fee-for-service
B) Diagnosis-related group
C) Preferred provider organizations
D) Health maintenance organization
B
2
Which form of managed care is the most stringent because the organization has a financial incentive to preserve the health of its members?
A) Fee-for-service
B) Diagnosis-related group
C) Preferred provider organizations
D) Health maintenance organization
A) Fee-for-service
B) Diagnosis-related group
C) Preferred provider organizations
D) Health maintenance organization
D
3
In the late 1980s, the legislature of which state undertook a plan to spread its resources over a larger number of people by limiting the services for which it would pay?
A) Oregon
B) Ohio
C) Oklahoma
D) Arizona
A) Oregon
B) Ohio
C) Oklahoma
D) Arizona
A
4
The United States spends far more on medical care per person than any other country in the world.
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5
The American medical system is the most expensive and most efficient in the world.
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6
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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7
Newer technologies tend to better diagnose problems, and, thus, save lives but at a much higher cost and with higher demand.
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8
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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9
It is rare to see someone sue a doctor or a hospital for malpractice outside the American system.
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10
The American legal climate tends to put doctors at ease and leads to less defensive medicine than other countries.
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11
A health maintenance organization acts as both insurer and provider.
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12
In ________________________, patients are required to seek care from participating providers who have agreed to provide services at lower rates.
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13
When ____________________ was the norm, hospitals could charge higher rates to insured patients to cover the costs of treating the uninsured.
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14
whats the terms to the appropriate description.
-Popular among political conservatives and was encouraged during the Bush administration
-Popular among political conservatives and was encouraged during the Bush administration
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15
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
-Insurance payments do not kick in until after individuals themselves have paid for a significant amount of services
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16
whats the terms to the appropriate description.
-Individuals set aside funds tax-free to be used for paying medical expenses
-Individuals set aside funds tax-free to be used for paying medical expenses
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17
whats the terms to the appropriate description.
-Aimed at addressing many of the problems with the American medical care system
-Aimed at addressing many of the problems with the American medical care system
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18
whats the following terms to the appropriate description
-A joint federal-state program which never worked as well as it was expected to, but now covers many more Americans
-A joint federal-state program which never worked as well as it was expected to, but now covers many more Americans
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19
whats the following terms to the appropriate description
-Prohibited denial of medical coverage due to pre-existing conditions
-Prohibited denial of medical coverage due to pre-existing conditions
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20
whats the following terms to the appropriate description
-Passed in the 1990s and decreased the percentage of uninsured children to less than 10 percent
-Passed in the 1990s and decreased the percentage of uninsured children to less than 10 percent
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21
whats the following terms to the appropriate description
-Obamacare
-Obamacare
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22
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?
A) Married adults
B) Children
C) Elderly adults
D) Childless adults
A) Married adults
B) Children
C) Elderly adults
D) Childless adults
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23
What percentage of Medicaid beneficiaries are children, their parents, and pregnant women?
A) 50%
B) 65%
C) 75%
D) 85%
A) 50%
B) 65%
C) 75%
D) 85%
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24
A business with how many or more employees that does not provide medical coverage is required to pay an assessment of $2000 per employee?
A) 10
B) 25
C) 50
D) 100
A) 10
B) 25
C) 50
D) 100
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25
Each year, the Medicare program pays out more money than it collects in premiums.
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26
The health status of the American population is poor in international comparison which is evidence that all the spending on medical care cannot compensate for failures in the public health system.
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27
There is well-documented evidence that patients were harmed by the overall cost control measures associated with managed care.
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28
The percentage of children who are uninsured has declined to less than 10% because of _________________________.
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29
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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30
Obamacare required states and the District of Columbia to create ___________________ on which individuals could shop for medical insurance plans.
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31
Obamacare mandated that insurers allow children to stay on their parents' health insurance until the age of ___________________ .
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32
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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33
From early on, when some rationing has been considered, ___________________ care is generally one of the highest priorities.
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34
While the idea of healthcare rationing causes great upset, in some sense it ___________________.
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35
Whats the appropriate description of the following?
-A flat fee paid to hospitals based on the illness category of the patient
-A flat fee paid to hospitals based on the illness category of the patient
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36
Whats the appropriate description of the following?
-The seller rather than the buyer determines what the buyer needs
-The seller rather than the buyer determines what the buyer needs
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37
Whats the appropriate description of the following?
-Family practice, general internal medicine, pediatrics, and obstetrics/gynecology
-Family practice, general internal medicine, pediatrics, and obstetrics/gynecology
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38
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
-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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39
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
-Patients area required to seek care from participating providers who have agreed to provide services at lower rates
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40
Whats the appropriate description of the following?
-Acts as both insurer and provider in return for a fixed monthly or annual payment
-Acts as both insurer and provider in return for a fixed monthly or annual payment
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41
Whats the appropriate description of the following?
-Provided patients with information on cost and quality and requiring them to share more of the cost
-Provided patients with information on cost and quality and requiring them to share more of the cost
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42
Whats the appropriate description of the following?
-Individuals set aside funds tax-free to be used in paying medical expenses
-Individuals set aside funds tax-free to be used in paying medical expenses
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