personal health chapter 15

Managed care is based on

coordination of health care

Before the Affordable Care Act, if you had a history of back problems and needed health insurance, it was unlikely that your new insurance plan would cover any treatment related to your back problems until the policy had been in effect for a period of time. Your back problem was considered a(n)

preexisting condition

One way the ACA is intended to improve the quality of health care is by emphasizing

preventative care

Your father was laid off six months ago but recently started a new job. He was able to keep his health insurance during the transition through

COBRA

If you have moved to a new town and want to find a provider you can see for annual wellness exams and the treatment of routine ailments, you are seeking a(n)

primary care practitioner

You should seek expert medical care if you experience

unexplained sudden weight loss

Which type of health insurance plan involves a contracted provider network and a focus on wellness, preventive care, early intervention, and cost control?

managed care

The federally funded health insurance program that covers 99 percent of the U.S. population age 65 and older is

medicare

Of the following types of health care expenditures, the United States spends the most on

hospital care

In a 2016 survey, what percentage of college students said they had no health insurance?

3.4%

A group of physicians in private practice who negotiate fees for medical care only for patients who are members of their organization is called a(n)

NOT: preferred provider organization. could be: health maintenance organization. independent practice association. point of service plan. DID NOT HAVE CORRECT ANSWER

The conventional health care delivered in the United States is known as

allopathic medicine.

Most private health insurance plans require the patient to a pay a certain amount each year toward health care expenses before the plan benefits begin; this amount is the

deductible

In a clinical trial for a new pain medication, Hayden was given an inactive substance instead of an actual drug. After taking it, however, his headache improved. This resulted from the

placebo effect

Approximately what percentage of Americans age 25 to 34 have no health insurance?

16%

Treating a minor health problem yourself without seeking professional help is

self-care

What do preferred provider organizations (PPOs) and point of service (POS) plans have in common?

Both allow patients to seek outside care but require patients to pay an extra cost.

Which of the following statements is NOT true about costs in the U.S. health care system?

F: New technologies are lowering costs. T: Growing rates of obesity are pushing costs higher. The U.S. spends more on health care than any other nation. Overtreatment is an issue.

All of the following statements are true about traditional Western medical practice EXCEPT

F: all treatments have had the benefit of extensive clinical trials. T: treatments may change dramatically as new advances replace older practices. practitioners complete rigorous education and clinical training programs. it can be practiced by a wide range of specialists and health professionals.

All of the following are true with respect to generic drugs EXCEPT that they

F: have the same inactive ingredients as their brand name counterpart. T: are sold under a chemical name instead of a brand name. are generally less expensive than brand name drugs. contain the same active ingredients as their brand name counterpart.

Over-the-counter drugs are commonly used for all of the following EXCEPT

I: diabetes C: weight loss. allergies. sleep problems.

The 2010 Patient Protection and Affordable Care Act (ACA) was designed to do all of the following EXCEPT

I: establish a national single-payer health care system. C: address the cost of health care. improve the overall quality of health care. increase access to health care.

Communication with health care providers can be improved by all of the following EXCEPT

I: relying on your health care provider for all information on health care issues. C: seeking a second opinion when you have doubts about the provider's recommendations. writing down information so that you remember it accurately. knowing your family history.

When choosing a health care provider, you should examine all of the following EXCEPT

I:their membership in local organizations such as country clubs or service clubs. C: how their methods of treatment compare to established medical practices. their education and training. their affiliations with accredited medical facilities.

Originally health insurance covered only hospital expenses. This coverage was then expanded to physician services and medications and other treatments. What effect did this type of coverage have on the medical system?

It encouraged doctors to provide more medical procedures for patients.

Which of the following is TRUE with respect to health care spending accounts (FSAs or HSAs)?

T: They allow people to save money tax-free for health care costs. F: They provide funds that help employers finance company health plans. They are only available to low-income individuals. They provide affordable health care coverage.

Due to the differences in training, an osteopathic physician would probably have more experience dealing with which condition than a medical doctor?

low back pain

Approximately what percentage of Americans currently uses one or more prescription drugs?

nearly 50%

Your primary care provider suspects that you may have an unusual infection in your eyes. To whom would he or she refer you?

ophthalmologist

Drugs that can be purchased without a prescription as part of self-care are

over-the-counter drugs

Capitation refers to

payment of a fixed monthly amount to a health-care provider per enrolled patient, regardless of the type or number of services provided.