HLTH 101 - Overview Health Care Industry

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What are ways that hospitals can be classified?

Access Size Location Services Ownership

Which ethnic or racial group has the highest life expectancy?

Asian

What is a government factor that led to hospital closures?

Changes in Medicare reimbursement EMTALA

What is moral hazard?

Consumer behavior that leads to a higher utilization of health care services

A free healthcare market includes price fixes.

False

A high-deductible health insurance plan is a great option for a patient that plans to use health services on a regular basis due to an illness.

False

A market justice healthcare system intervenes to create equality.

False

All health insurance companies pay the same cost for knee replacements.

False

An example of deinstiutionalization is a person with a mental illness moving from his own apartment to a hospital.

False

Equity is the same as equality.

False

Generally, private health insurance is cheaper for the insured than group insurance.

False

HIPAA protects confidentiality only in paper and oral formats.

False

If a patient is not eligible for Social Security benefits, then they may still be eligible for Medicare.

False

It is easy to truly conduct integrated healthcare.

False

Long term care is covered under most health insurance plans.

False

Maldistribution refers to the shortage of specialists.

False

Medicaid is only available for older adults.

False

Nursing homes are ideal residences for people with severe mental illness.

False

People with disabilities and mental illness were treated the same in the health care system throughout history.

False

Private insurance reimburses providers worse than Medicaid and Medicare.

False

Robotic surgery is generally cheaper than physician conducted surgery.

False

Self-insurance is the same as individual private health insurance.

False

Since the enactment of the Affordable Care Act (ACA), all citizens will receive healthcare.

False

The passage of Medicaid enabled funding for institutionalization.

False

Trade-off is a comparison of costs and prices.

False

A premium is the amount the insurer must pay each year before benefits are payable by the plan.

False Deductible

The Affordable Care Act expanded Medicare coverage.

False The ACA expanded Medicaid coverage

Who provides the majority of care in the LTC setting in the United States?

Family members

HIPAA refers to:

Health Insurance Portability and Accountability Act

What was the primary issue for patients to find a suitable donor in the documentary Mixed Match?

Mixed race genetics

What obligations does a hospital have under EMTALA? Must stabilize the patient if emergency medical condition exists Hospitals must ask for payment at time of treatment Must perform medical screening examination Specialty hospitals must accept transfer if they have capacity

Must stabilize the patient if emergency medical condition exists Must perform medical screening examination Specialty hospitals must accept transfer if they have capacity

What are the potential penalties for an EMTALA violation?

Patient can sue for personal injury Penalty up to $50,000 per violation Physicians can BE sueD for malpractice Medicare provider agreement cancelled

What common practice was EMTALA designed to prevent?

Patient dumping

The following is not one of Blum's main sources determinant of health:

Personality

In the video interview of the health economist, what factors did he say explain the high cost of healthcare in the U.S. as a percentage of GDP? Prices Physician salaries Single-payer system Administrative costs

Prices Administrative costs

Match the term or acronym with its description. SNF Respite care Case management LTC

SNF - A nursing home certified to provide rehabilitation services under Medicare. Respite care - Service provide temporary relief to informal caregivers. Case management - Organized approach to evaluating and coordinating care for an individual. LTC - Individualized, well-coordinated services that promotes the maximum independence of people with functional limitations provided over an extended period of time.

What is the purpose of Medigap insurance?

Supplement Medicare insurance and reduce patient out of pocket costs

One well-known law that significantly increased the number of hospitals in the U.S. is known as

The Hill-Burton Act The Hospital Survey and Construction Act of 1946

A co-payment is a flat amount the insured must pay each time health services are received.

True

A goal of primary care is to prevent inpatient care.

True

Disability is defined based on the policy or program referring to it.

True

Disparities of life expectancty exist based on race or ethnicity.

True

Health economics includes the activities that create the healthcare people want and get the healthcare to the people that want it.

True

Hospice serves those patients that are expected to live no more than 6 months more as identified by a physician.

True

Hospitals can pay a fee for readmittance of a Medicare patient within 30 days for the same diagnosis.

True

It is generally a violation of HIPAA to call a friend and discuss a patient's case.

True

Medicare is primarily available for older adults.

True

Morbidity is referring to disease and disability.

True

Nursing homes are an insitutionalized form of long term care discussed in class.

True

Patients save money in taxes by contributing to health savings plans.

True

People with disabilities who have worked are generally eligible for Medicare.

True

Provider satisfaction tends to rise when they are involved in integrated healthcare.

True

Resources are scarce.

True

Supplemental Security Income is available for people with severe mental illnesses.

True

Telehealth may support the elimination of health disparities.

True

The ACA mandated that states no longer use assets tests for Medicaid.

True

The Affordable Care Act enables adults aged 26 and under who attend school to be insured under their parent's health insurance.

True

The U.S. healthcare system is referred to as imperfect.

True

The US spends the most percentage of its GDP on healthcare as compared to other countries.

True

The geographic maldistribution of physicians refers to greater physicians in urban areas than rural areas.

True

The way that our government is structured determines our ability to enact comprehensive changes to the healthcare system.

True

Transportation is a form of long term care.

True

You might compared integrated healthcare to Target, because it includes an "all in one" approach to healthcare.

True

Healthcare spending in the U.S. rose after managed care became common.

True....but at a slower rate than before managed care

The following would not be an element of integrated healthcare:

animal healthcare

Group insurance is also known as:

employer-based insurance

Which of the following best describes the role of a primary care physician who provides a referral for you as the patient to see a specialist.

gatekeeper

Primary care physicians in managed care groups do not receive financial incentives to reduce:

long term care

What was a factor the influenced the rural hospital's decision to not offer VBAC in the documentary "Giving Birth in America."

medical liability

According to your book, healthcare delivery systems do not include:

patients

Long term care is not designed to/for:

people with brief episodes of disability

What types of health disparities were featured in the documentary series "Giving Birth in America"? socioeconomic racial physician maldistribution geographic

socioeconomic racial geographic

Managed care models do not include the following:

specialists acting as gatekeepers

The following is the main reason for the surplus in specialist physicians:

specialists receive almost double the salary compared to generalists

There is more demand than supply of generalist physicians in the U.S.

true


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