topic 7-12 GPH 3610

dr jane stuckey is angry when then HMO reduces her captiation payment from $15 to $12 per patient per month. she is unable to to maintain her income by seeing more patients because more patient visits do no bring her any more money. she hopes that more HMO patients will enroll in her practice so that she can receive more capitation payments additional enrolled patients refer to what part of the C= P*Q equation

Q

which of the following contribute most to health care expenditures in the united states

administrative burden and prices of healthcare services

prior to the passage of the affordable care act health insurance companies were permitted to do which of the following

all of the above (charge women more than men, drop individuals who incurred very high health care costs, deny applications for health insurance)

which of the following are contributing to racial/ethnic disparities in covid 19 cases

all of the above (poorer access to care, multigenerational households, lack of sufficient coverage)

which of the following groups experienced the greatest increase in unemployment between february and april of 2020

black women

despites some recovery of the economy which of the following demographic groups continues to experience the highest levels of unemployment

black/african american

seeing a community health worker is free in

both countries (cuba and philippines)

which group of individuals most benefited from the affordable care acts ACA medicaid expansion

childless adults

in 2012 the supreme court rules that while the individual mandate was _____ states _____ be forced to expand medicaid

constitutional could not

in contrast to cost ________ which attempts to restrict health care by influencing patient behavior _______ seeks to influence physicians behavior

cost sharing utilization management

since the pandemic started hospitals are experiencing which of the following

decreased revenue due to cancelled/forgone treatments and services

the donut hole is medicare part d is no longer the burden it once was on enrollees because prescription costs in the coverage gap are now predominantly covered by

drug manufacturers

as covid 19 cases continue to increase the vast majority of americans have decided to cancel their thanksgiving plans with nonhousehold members

false

canadians are permitted to purchase private health insurance that replaces the health insurance provided by the government

false

defensive medicine is the prescribing of tests or treatments by doctors solely in order to save patients from harm as a result of malpractice

false

everyone must be registered with a general practitioner in japan

false

if the united states could reduce the amount of time physicians spend interacting with payers to that of canada our total healthcare costs as a percent of GDP would be similar to what canada pays

false

if you take into consideration medial starting salaries new physicians have accrued substantially more debt than new college graduates

false

in the united kingdom the national health system primarily pays general practitioners through fee for service meaning GPs can deliver and receive financial reimbursement for as many services to the deem appropriate

false

job lock refers to individuals who are unable to change jobs because they become eligible for medicare

false

market based provisioning of health services uses centralized planning to allocate resources

false

medicare benefit periods are 90 days long

false

medicare part d is free to enroll in because all americans pay in to a dedicated payroll tax credit for it

false

nurse practitioners have a very restricted scope of practice in all 50 states

false

ohio has a much bigger issue with primary care shortages when compared to other states

false

one benefit of medicare part d is that there are set prices for all prescription drugs regardless of which plan one enrolls in

false

open nursing positions indicating a shortage of nurses is an example of a NEED approach to workforce planning

false

people who lose their jobs due to the coronavirus are unable to purchase health insurance on the insurance exchanges

false

physician assistants (PAs) have successfully resolved problems with primary care shortage areas

false

the 80/20 rule states that 80% of individuals are unlikely to benefit from 20% of healthcare procedures

false

the canadian health care system is a typical example of the national health system

false

the garbage can model assumes that policy occurs in a linear fashion

false

the majority of families enrolled in medicaid do not have any type of employment

false

the medicaid expansion increased eligibility levels to all individuals with household incomes at or below the fedral poverty level

false

when choosing an insurance plan on the insurance marketplace the smartest financial decision you can make is to purchase a platinum plan because this plan is predicted to cover 90% of all healthcare expenses

false

when cost control mechanisms are put in place to affect financing before they reach the health plan we refer to them as financing controls. cost control mechanisms that affect the ways or amounts that are paid out to providers are referred to as reimbursement controls

financing controls reimbursement controls

what were the two major problems that led to the creation of the affordable care act

high costs of healthcare and high uninsurance rates

between 2008 and 2019 there was an increase in the number of female applicants to medical school. This increase has resulted in

higher concentration of female physicians in specialties that already had higher proportions of female physicians

despite spending time less on healthcare cuba has similar or better outcomes to the US regarding which of the following

infant mortality life expectancy

one of the ways japan has managed to control costs so effectively has been to

institute a universal fee schedule

which of the following is NOT true of germanys health care system

like the united states germany also has disproportionately high number of specialists

what was the unintended consequence of the 2012 supreme court ruling regarding the medicaid expansion

low income childless adults and some parents living in states that did not choose to expand medicaid were neither eligible for meicaid nor insurance exchange subsidies

which of the following finances the greatest amount of long term care services in the United States

medicaid

the tendency to use more health care because insurance is paying for some portion of it is referred to as

moral hazard

the mandate for employers to provide insurance had little effect on large employers (>50 employees) because

most of them were already providing health insurance

which of the following statements regarding medicaid was true prior to the passage of the affordable care act

nearly all childless low income adults were ineligible

prior to the passage of the affordable care act which of the following was required of the health insurance industry

none of the above (coverage of care received in the emergency department, maternity care, guaranteed proportion of premiums spent on reimbursing for medical care presciption drug coverage)

which of the following is not a reason why universities experience difficulty filling nursing faculty positions

nurses must continue to practice nursing when they become faculty and the strain is too much

elsie a medicare enrollee has to have a knee replacement. which part of medicare will pay for her hospitalization

part a

some americans are opposed to medicare for all because they are accustomed to their employer sponsored health insurance. this is an example of

path dependence

which of the following features is not considered an aspect of health policy according to the world health orgaization

penalties

a move from point a to point b represents painless cost control because health care costs decrease and do not have negative effects on population health outcomes

point b health care costs decrease and do not have negative effects on population health outcomes

which of the following was not included in the affordable care act

price setting for health care services

according to the video with john green how does the uk control the price of medical supplies/devices

private companies compete agains teach other on price to be the suppler for the entire NHS

which of the following is a challenge to living in the philippines

prohibitively expensive health services severe poverty government animosity towards community health workers flooding

medicare part a is funded primarily by payroll tax. employees are taxed 1.45% of their earnings reagardless of how much they earn. this is an example of what type of financing scheme

proportional

a financing scheme in which high earners pay a lower percentage of income than individuals making less money is called

regressive

the trump administration has sought to dismantle the affordable care act by doing which of the following

repealing the individual mandate reducing open enrollment period for the insurance marketplace

what is the reason for the coverage gap in medicaid

some states did not choose to expand medicaid

the icu natural experiment discussed in lecture demonstrated that

supply limits can be implemented without patient harm

which of the following is not an activity of daily living adl

taking medications

while ______ has an entirely socialized health care system, canada's health system is not because ______

the Uk physicians are not employed by the government

when someone becomes unemployed in germany who pays their contribution to sickness funds

the federal goverment

compared to other nations the united states has

the most covid 19 cases as well as the most per capita covid 19 cases

why dont more people purchase long term care insurance policies

the policies are too expensive

in comparison to US demographics in 1900 by 2050 it is predicted that

there will be greater absolute number of individuals 65 and older a greater proportion of the population will be composed of individuals 65 and older

why did women leave the workforce at four times the rate that men left in september of 2020

they chose to leave due to family demands

which of the following provides health insurance for individuals who are active duty military personnel

tricare

after adjusting for the cost of living physicians working in rural areas actually make more than physicians working in urban area

true

graduates of DO programs are eligible to apply for the same residencies as graduates of MD programs

true

health policy can include deliberately refusing to support an initiative

true

policy communities can include official organizations such as think tans or professional associations

true