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DEVRY HSM410 midterm exam




Question;Question 1. Question;(TCO 1) Which of the following;are potential health outcomes of the uninsured?;Unavoidable hospitalizations;Higher mortality rates;High rates of hypertension;All of the above (Answer located on pages;21-22 in textbook.);Points Received: 5 of 5;Comments;Question 2. Question;(TCO 2) Which of the following;are stakeholders in healthcare policy?;Individuals, businesses, consumers, and;purchasers(Answer located on page 193 in textbook.);Purchasers, medical suppliers, providers, and;businesses;Providers, hospitals, physicians, and;insurers;Points Received: 0 of 5;Comments;Question 3. Question;(TCO 3) Regressive payments;are ____________.;the ratio of payment to income that is the;same for all classes.;payments that take a falling percentage of;income as income increases. (Chapter 2, pg. 14.);payments that take a rising percentage of;income as income increases.;a set fee regardless of income.;Points Received: 5 of 5;Comments;Question 4. Question;(TCO 4) Fee-for-service;reimbursement is different than the other units of payment for healthcare. This;statement is;true because all other forms of reimbursement;group together several services into one payment. (Chapter 4, pg. 31.);true because it is the oldest and simplest;form of reimbursement for care provided.;false because the Medicare/Medicaid systems;reimburse healthcare providers in the same method as fee for service.;false;because the per diem payment to hospitals method pays for services on an;as-needed" basis.;Points Received: 5 of 5;Comments;Question 5. Question;(TCO 1) What is a category of;underinsurance?;Limits to insurance coverage;Gaps in Medicare coverage;Lack of coverage for long-term care services;All of the above (Chapter 3, pg. 23.);Points Received: 5 of 5;Comments;Question 6. Question;(TCO 3) In the 1990s, the push;for cost containment changed how physicians and hospitals are paid. The;changes;replaced fee-for-service payments with;prospective payment methods.;bundled services into one payment to shift;risk away from payers.;had payment be negotiated between providers;and payers.;All of the above (Chapter 4, pg. 40.);Question 1. Question;(TCO 2) For the last 25 years;what has been the fundamental conflict between purchasers and the healthcare;industry?;Question 2. Question;(TCO 4) List the methods of;hospital payment.;Question 3. Question;(TCO 2) Does an HMO promote;the regionalized or dispersed model of care? How?;Question 4. Question;(TCO 4) What is the concept of;patient cost sharing? Is it a painless form of cost control? For whom?;Question 5. Question;(TCO 3) Why has cost;containment become such a focus of the American public? Give examples of;current cost containment measures commonly used.


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