HLTH 101 - Overview Health Care Industry
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