1. Group insurance is an example of social justic

1. Group insurance is an example of social justice




1. All of the following are examples of how health care changed during the post-industrial era except:

A. Development of Medicare/Medicaid

B. Decreased health care costs

C. Physicians gain power and respect

D. Disproportion between PCPs and specialists


1. Which insurance would be billed for a retired 80 year old with high income that needs heart surgery?

A. Medicare

B. Medicaid

C. Both A and B

D. None of the above


1. A doctor of osteopathy (DO) is different than and MD because

A. A DO focuses on preventative medicine

B. They are mainly generalist and MDs are specialists

C. A DO practices allopathic medicine

D. All of the above

E. A and B


1. Which services would be covered under Medicare Part D?

A. Renal Dialysis

B. Physical therapy

C. Annual physical

D. Prescription drug

E. All of the above


1. Factors that would influence how the prospective reimbursement (PPS) in a hospital setting would be

A. Cost of services provided

B. Institution hospital vs. teaching hospital

C. Patient’s age

D. Length of stay

E. All of the above


1. A doctor that practices Obstetrics and Gynecology is an example of

A. Primary care

B. Secondary care

C. Tertiary care

D. B and C only


1. Primary care is important to our healthcare system because

A. It is easily accessible

B. It decreases the amount of patients in the emergency room

C. It has shown to have a positive relationship with life expectancy

D. A and C only

E. All of the above


1. Which of the following led to the downsizing of hospitals

A. An increase in Primary care physicians

B. Reimbursement from prospective to retrospective

C. Outpatient care

D. Shortage of nurses

E. None of the above


1. A hospital that is considered Private Nonprofit

A. Makes up 60% of all hospital beds

B. Is owned by a corporation

C. Does make a profit

D. A and C only

E. All of the above


1. JCAHO accreditation

A. Is only for hospitals

B. Is required for Medicare reimbursement

C. Is voluntary

D. B and C only

E. All of the above


1. The Patient Self-Determination Act of 1990

A. Only applies to hospitalized patients

B. Requires facilities to provide patients with information on patients’ rights

C. Only applies to patients not mentally capable

D. All of the above


1. Mary comes to the pharmacy with a prescription for a cholesterol lowering agent. Her pharmacist tells her that her insurance requires an authorization in order to verify that this medical is medically necessary and appropriate. She cannot fill the prescription under the insurance until it is verified. This is an example of

A. Retrospective utilization review

B. Concurrent utilization review

C. Prospective utilization review

D. None of the above


1. A major difference between a PPO and an HMO is

A. There is limited gatekeeping in PPOs

B. PPO enrollees can choose to go to a facility outside of their network with no additional fee

C. PPOs typically do not have annual deductibles

D. PPOs have lower copayments


1. Joseph is an 84 year old man diagnosed with Alzheimer’s disease. He has no family members that live in the area and currently resides in a Long Term Care facility. His goals would include

A. Increase quality of life

B. Maintain his independence for as long as possible

C. Receiving his annual influenza vaccine

D. All of the above


1. There has been an increase in the amount of Women diagnosed with

A. Alcohol abuse

B. Mental disease


D. All of the above


1. One method to reduce costs in our health care system would include all except

A. Encourage yearly physicals for seniors

B. Implement electronic medical records

C. Practice defensive medicine

D. All are correct


1. An example of how the US government has made Access Initiatives includes

A. Medicare coverage of pneumonia vaccinations at local pharmacy

B. Setting lifetime insurance caps on health insurance

C. Creating SCHIPs for low-income families

D. Both A and C


1. Universal Health Care Coverage would insure only eligible citizens in the country and would not cover non-citizens




1. The single-payer reform model

A. Is closest to the British model

B. Would eliminate need for Medicare/Medicaid

C. Physicians would be reimbursed based on retrospective reimbursement

D. None of the above


1. Write a paragraph to answer the following question: What change would you make to our US healthcare system? Make sure to include how you would change this aspect and what population(S) would it affect.

10 points


1. Write a paragraph to answer the following question: How has technology affected our healthcare system as far as patient care? How has it made a negative impact?

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