Health Reform Controlling Costs Complete Test Bank Ch.8 - Answer Key + Test Bank | Controversies in Public Health 1e by Carney by Jan Kirk Carney. DOCX document preview.
Chapter 8: Health Reform: Controlling Costs
Multiple Choice
1. Despite ranking number 1 in per capita health care spending, where does the United States rank in overall life expectancy?
A. 10th
B. 23rd
C. 36th
D. 50th
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2. Much of the controversy in the United States about our health care system relates to:
A. Poor infant mortality despite near universal health care access
B. High per capita costs, geographic variation, and poor health outcomes
C. Transportation to health care facilities in rural areas
D. Better health outcomes than our peer countries, but at a higher cost
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3. In 2012, total health care spending in the United States was estimated at:
A. $1.2 trillion
B. $2.8 trillion
C. $3.5 trillion
D. $5.4 trillion
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4. In 2012, per capita health care spending in the U.S. was estimated at:
A. $5000
B. $7000
C. $9000
D. $12,000
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5. The U.S. Centers for Medicare and Medicaid Services (CMS) projects total health care spending in 2023 to exceed:
A. $3.0 trillion
B. $4.0 trillion
C. $5.0 trillion
D. $9.0 trillion
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6. The U.S. Centers for Medicare and Medicaid Services (CMS) projects per capita health care spending in 2023 to exceed:
A. $10,000
B. $14,000
C. $20,000
D. $25,000
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7. According to the Robert Wood Johnson Foundation’s Synthesis Project, which of the following is responsible for more than half of the increases in health care spending?
A. Larger health care networks
B. Medical Technology
C. Research advances
D. Pharmaceuticals
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8. In 2009, highest per capita health care expenditures were seen in which of the following states?
A. Texas
B. Alaska
C. Florida
D. Pennsylvania
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9. Geographic healthcare differences observed in the Dartmouth Atlas, may be attributable to:
A. Differences in incidence rates of common illnesses
B. Rural vs. urban differences
C. Health care practice variation
D. Reimbursement differences between regions
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10. An initiative of the American Board of Internal Medicine that aims to improve healthcare quality by improving conversations between patients and physicians is called:
A. Let’s Talk about Healthcare
B. Choosing Wisely
C. Community Connections
D. Patients First
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True or False
11. According to the Kaiser Family Foundation in 2014, more than half of people responding to a poll about the Patient Protection and Affordable Care Act (ACA) had a negative view of the law.
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12. It is estimated that 20% of U.S. healthcare spending is from 1% of patients, those with three or more chronic conditions.
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13. Comparisons between the United States and peer countries demonstrates that U.S. per capita health care spending is more than double the amount of many of our peers.
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14. Since 1980, personal health care (out-of-pocket) spending has increased by 50%.
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15. Experts contend that as much as one-fifth of all healthcare spending may be due to redundant or unnecessary care.
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16. Almost one-third of Medicare spending can be attributed to costs of health care in the last two years of life.
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17. Studies of geographic variation in health care showed that levels of health care may be more related to where they live rather than what care they prefer.
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18. In 2010, in one research study, the chance that a patient with advanced cancer died in the hospital varied from 13% to 50% depending on which health care facility they received care.
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19. One area of controversy during the Congressional debate about the Patient Protection and Affordable Care Act (ACA) included the debate about discussing end-of-life care.
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20. Insurance companies and health economists agree that government underfunding is the root of health care “cost shifting.”
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21. The Dartmouth Atlas, the Center for Medicare and Medicaid Services public data set, and other sources of publically-available data will help researchers and policy makers understand causes of geographic differences in health care spending.
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22. Information about healthcare prices is readily available to the public health policy makers.
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23. There is currently debate over whether health system mergers will reduce or increase health care costs.
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24. Accountable Care Organizations (ACOs) are geographically located health care systems for patients with private insurance.
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25. The idea of using “states as laboratories” has provided insight into the effectiveness of innovative health care initiatives.
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26. One strategy linking health care and public health is in the prevention of chronic conditions, a major contributor to health care costs.
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27. One important role of public health in health reform is to link population-based prevention to health care.
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Multiple Answer
28. Which of the following factors contribute significantly to current health care spending?
A. Fee-for-service payment
B. Lower co-pays and deductibles
C. Aging of the population
D. Increasing obesity rates
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29. Which factors also contribute to rises in health care expenditures?
A. Demand for technology, treatments, and pharmaceuticals
B. Lack of transportation
C. Lack of scientific evidence
D. Shortages of rural providers
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30. Examples of state-based innovations to reduce costs in improve quality include:
A. Insurance rate review and setting hospital prices
B. Patient-centered medical homes
C. Medicaid Coordinated Care Organizations
D. Improving health in the surrounding community
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Document Information
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Answer Key + Test Bank | Controversies in Public Health 1e by Carney
By Jan Kirk Carney
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