Health Policy Final Exam Study Guide

Which of the following statements is not true about the development of legislation at the federal level?

Decisions by the committee or subcommittee must be either "recommended" or "not recommended"

what is the definition of healthcare policy?

It is policy related to the financing, delivery, and governance of health services for the populations and subpopulations within a jurisdiction

Which of the following is not an example of regulatory policy?

Medicaid

Which of the following does NOT describe Medical Care Part A - Hospital Insurance?

Patients can retire at 55 and still claim Midcare

Which of the following statements is not true about health policymaking in the United States?

The approach to health policymaking at the federal level is systematic.

Which of the following is not a power of the US Congress?

The power to declare that federal or state laws are unconstitutional

Which of the following statements best describes stakeholders?

They are entities or individuals who have a direct role in the development of policy

Which of the following entities is the main legislative body in Canada?

house of commons

which of the following statements best describes public health

it includes preventing diseases and promoting good health within groups of people

An insurance program specifically designed for those on Medicare and could not qualify for Part A and B is called:

medigap

which of the following is not a component of socioeconomic status

occupational status

A network of providers pre-selected by the employer to provide a specific service or range of services at usually discounted rates to the employer's covered members is

ppo

When a specified medical condition carries a higher than average risk and as a result the patient is denied insurance or charged higher premium it is called

preexisting medical condition

An HMO model with salaried physicians is

staff model

The capacity to enforce legislation on behalf of the government as granted by the Constitution is called

statutory authority

the process of directing patients towards certain providers in exchange for discounts or other incentives

steering

The legislative branch of the federal government is a. the House of Representatives

the US Congress

Health is defined as

the absence of disease or infirmity, physical and mental health, and social well-being

he determinants of health policy include potential solutions to a health problem, stakeholders' influence, policymakers' leadership role, and the prevalence of the health problem in other countries

false

Which of the following is a distributive policy?

Funding of medical research through the National Institutes of Health

Lobbying by organized interest groups is a common component of the political process in a democracy

false

Once a bill is approved by the congressional committee to which it was assigned, it can be presented to the president for his or her signature.

false

Physicians' decisions typically reflect their own self-interests, the interests of patients, and payers' incentives.

false

Social contacts and social resources are among the determinants of health

false

The legislative and judicial branches are responsible for overseeing enacted legislation while the executive branch is not.

false

The significance of a health policy is unrelated to the severity of the health problem it is targeting

false

A method of reimbursement based on payment for serviced already provided and mostly applicable to private physicians

fee-for-service

The maximum payment that an insurer pays is called

fixed indemnity

A predefined amount of money paid to a provider for a unit of service

flat fee

Which of the following does NOT describe Part B - medical coverage?

has mandatory hospital benefits

The environmental determinants of health

have a greater impact on health than the medical care system does

Which of the following statements about interest groups in the United States is not true?

Although most groups are satisfied with the benefits they receive, the result for any single group may be less than optimal.

Which of the The major contributor two fifths of health expenditures (40%) are reimbursed or paid to the health cared providers by:

Federal and state health Medicaid and Medicare insurance

When providers render fee-for-service care and the insurance carrier pays the providers, the providers are considered

First party

The private insurance that reimburses the health care provider for health care given to a subscriber or insured persons is defined as:

Third party

The less control individuals have over the behavioral risk factors, the more regulations the government tends to enforce (with a few exceptions, such as regulations over illegal drugs).

True

The World Health Organization's (WHO) decision-making and policymaking body composed of delegations from all WHO member states is called the

World Health Assembly

Which of the following statements best describes health policy

a policy related to the financing, delivery and governance of health services for for the populations and subpopulations within a jurisdiction

In healthcare, "agency relationship" refers to

a relationship between a patient and a provider in which the patient delegates some authority to the provider to make decisions and perform actions on the patients behalf

Which of the following objectives is/are among the core functions of the World Health Organization?

all of the above (To act as a leader and a partner on health issues worldwide b. To establish standards of practice and support and monitor their adoption c. To advance policy options founded on ethical and evidence-based principles)

"tabling legislation" is defined as

an action undertaken by congress to postpone consideration of legislation

The executive branch at the federal level

can establish rules and regulations to implement statutes and laws

he condition when an individual is an unable to work and cannot afford paying health care, it is called

disability condition

The policy implementation body of the World Health Organization is called the

executive board

Because private policy affects private organizations only, it is not influenced by public policy

false

Individuals have equal control over the three categories of behavioral risk factors.

false

"Rule making" is defined as

the process by which implementation agencies set detailed rules and regulations for the application of laws

"agenda setting" refers to

the selection of a health problem as a policy target

A policy may need to be modified when the administration of the US government changes.

true

AARP assists people aged 50 or older by providing them with information, advocating for fulfillment of their needs, and offering certain services.

true

Health policy addressing a particular problem will not appear on the policy agenda without the approval of the governing body's leader

true

Once the House and Senate have approved an identical bill, the president should either sign or veto the legislation.

true

Policy modification can take place during policy formulation or policy implementation

true

Policymakers tend to be most responsive to the views and wishes of constituents who are politically active.

true

The US government's principal agency for implementing many health laws is the Health Resources and Services Administration.

true

The judicial branch can make policy by interpreting a statute, establishing a judicial precedent, or interpreting the US Constitution

true

The political system in the United States comprises three branches: the legislative, the executive, and the judicial branches

true

The public cannot provide input on the policy implementation process.

true

Most of hospital revenue loss is due to

unpaid bill for emergency care patients and disproportional number of medicare and medicaid patients