Economics And Healthcare Policy Chapter 16 Exam Prep

Chapter 16. Economics and Healthcare Policy

Questions

Multiple Choice

1. Which contributes to the uneven achievement of reliable and consistent gains in patient care?

1. Business firms

2. National entities

3. Finite resources

4. Legal organizations

Answer: _____

2. Which was included in the 2017 tax bill that undermined the Patient Protection and Affordable Care Act (aka Obamacare)?

1. Removal of the mandate to buy health insurance

2. Addition of worthless health insurance policies

3. Decreased consumer demand for quality healthcare

4. Elimination of evidence-based practice directives

Answer: _____

3. How is Medicare reimbursement to inpatient facilities impacted when avoidable complications, such as catheter-associated urinary tract infections, occur during treatment?

1. Medicare payment for treatment is adjusted based on standard fees.

2. Medicare payment is not adjusted for any treatment costs incurred.

3. Medicare payment for treatment costs of the complication is withheld.

4. Medicare payment is withheld for the entire cost of the inpatient treatment.

Answer: _____

4. Which is defined as the amount of money provided to pay for a particular episode of care based on an agreed or approved process?

1. Reimbursement

2. Cost of healthcare

3. Copayment by the patient

4. Goods and services provided for care

Answer: _____

5. Which is considered a third-party payer?

1. Employer

2. Consumer

3. Healthcare provider

4. Insurance company

Answer: _____

6. Which system involves a fixed amount of reimbursement determined appropriate to treat a patient who has a specific condition?

1. Retrospective payment plan

2. Managed care

3. Prospective payment system

4. Point of service

Answer: _____

7. Medicare is an example of which payment system?

1. Prospective payment system

2. Fee for service payment system

3. Medical savings payment system

4. Retrospective payment system

Answer: _____

8. Which is a challenge of the Canadian healthcare system that is similar to that in the United States?

1. Difficulties arise when policies are set at the federal level.

2. Lifelong healthcare is provided for all through tax revenues.

3. Poor compensation for doctors and nurses causes workers to leave.

4. Privately funded clinics exist that provide shorter wait times for care.

Answer: _____

9. Which statement describes the “donut hole,” one of the main issues of the Medicare Part D plan?

1. High users of the plan reach a point where they personally pay for medications.

2. Those using the plan have to put money into the fund but do not receive care.

3. Low users of the plan receive payment for care related to services but not drugs.

4. Those using the plan must get a portion of their drugs through Canadian sources.

Answer: _____

Multiple Response

10. Which factors distinguish healthcare economics from other areas of economics? Select all that apply.

1. Healthcare economics focuses on supply and demand rather than patient satisfaction.

2. Healthcare economics includes providers that have more knowledge than patients

3. Healthcare economics has extensive governmental intervention.

4. Healthcare economics involves patients’ barriers to access.

5. Healthcare economics encompasses wages, government activity, and policies.

Answer: _____

11. Which are the major factors driving healthcare costs in the United States? Select all that apply.

1. Aging of the population

2. Increase in the birth rate

3. Research and development

4. Administrative costs

5. Prescription drugs

Answer: _____

12. Which is true about diagnosis-related groups (DRGs)? Select all that apply.

1. DRGs reward cost-savings efforts.

2. DRGs address case-load issues.

3. DRGs dictate treatment plans.

4. DRGs ensure health maintenance.

5. DRGs include capitated payments.

Answer: _____

13. Which statements are true of Medicaid eligibility requirements? Select all that apply.

1. There are differences, depending on the state of residence.

2. Federal mandates define individuals who are “medically needy.”

3. Additional eligibility requirements include immigration status.

4. The states may require copayments for those from optional groups.

5. State committees determine eligibility on a case-by-case basis.

Answer: _____

14. Which are parts of the significant health insurance programs in the United States that are funded from public resources? Select all that apply.

1. Veterans Administration

2. Medicare

3. World Health

4. Children’s Health Insurance Program

5. Gates Foundation

Answer: _____

15. Which are parts of the World Health Organization’s principles related to health? Select all that apply.

1. Healthy development of the child is of basic importance.

2. Health is dependent on cooperation of individuals and states.

3. Health is the absence of disease or infirmity of the individual.

4. Unequal development of health promotion in different states is a danger.

5. Individuals are responsible for the health of their people in a community.

Answer: _____