AQA Sociology A-Level Paper 2 ) (Solved Questions 100% VERIFIED QUESTIONS AND ANSWERS)
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Course
Healthcare Finance Final Exam
Institution
Healthcare Finance Final Exam
Functionalism and Family 20m plan>>> Primary socialisation - Parsons
Stabilisation of adult personalities - Parsons
Functional fit - Parsons
Economic - Murdock
Warm bath theory
Marxism and Family 20m plan>>> Ideological control
Inheritance of property
Unit of consumption
R...
T/F Healthcare is more heavily regulated than most other businesses in the U.S.>>> True
T/F A recent trend in healthcare is the growth of public corporations that own multiple hospitals and
other healthcare facilities>>> True
Which of the following financial management issues differentiates healthcare form other businesses>>>
third party payers
which type of healthcare reimbursement system pays a fixed amount per patient>>> capitation
when medicare and medicaid were established in 1965, their costs increased much more than
government planners expected. What was changed in 1982 in an attempt to keep costs down>>>
payments to healthcare providers were based on patients diagnoses
which type of healthcare insurance plan uses primary care clinician gatekeepers to coordinate the care
of plan participants>>> Health maintenance organizations
Most proprietorship from professional corporations in order to ____>>> reduce malpractice liabilities
A small, closely held corporation is owned by ___>>> a proprietorship
Federal tax revenues are based on C Corporations ____>>> dividends
A not for profit hospital must ___>>> adopt a corporate structure
Nursing home costs for elderly americans>>> are mostly covered by long term care insurance
The change that had the biggest financial impact on hospitals in the 1980s and 1990s was ___>>> the
reimbursement based on patient diagnoses
what factors contributed to the rapid cost increases of the medicare and medicaid programs in the
1960s>>> yes, this was when fee-for-service reimbursement was in place.
describe financial advantages of not for profit hospital over for a profit hospital.>>> not for profit-do not
pay taxes, service the needs of community, must prove beneficial to community to stay afloat. For
profit--rely on investors of hospital, have more services available, repay investors who invest in their
company
t/f preferred provider organizations PPO plans are a form of managed care>>> true
t/f the federal governments first involvement in healthcare financing was based on the social security
amendments of 1965>>> true
,t/f TRICARE insurance is a private pay company contracted by the federal government to provide
healthcare insurance to members of the armed forces>>> true
What type of healthcare insurance coverage is most common in America>>> Private insurance from
employer
Most healthcare providers receive most of their payments from ___>>> third party payers
Usual, Customary, and reasonable fees are ___>>> based on surveys conducted by insurance companies
When a person injured with a preferred provider organization plan receives health services from a
provider who does not participate in the plan, the insured person ___>>> pays more for the service
Healthcare providers who participate in a capitated payment type of health maintenance organization
___>>> get paid a per member per month rate
Individuals covered by a high deductible health plan within a preferred provider organization use fewer
outpatient services and shop around for lower cost outpatient services because they __>>> pay directly
for routine care
Americans without heath insurance (private or government)>>> pay directly for routine medical care
Rising health care insurance costs in a tight employment (fewer jobs and many qualified applicants) will
likely result in employers ____>>> dropping part-time positions in favor of fewer full time positions
The social security act of 1935 ___>>> was part of Truman's Fair Deal
Describe the American Recovery and Reinvestment Act of 2009(ARRA), its relation to COBRA, and how
costs are paid>>> created new obligations for COBRA. COBRA provides coverage for indviduals who are
laid off and want to continue w/ health insurance. The gov pays 65% of premiums for period of time.
Describe the Childrens Health Insurance Program of 1997>>> increased poverty levels (up to 200%) for
children to be granted Medicaid healthcare coverage.
Why are hospitals most affected by large numbers of uninsured persons>>> do not have PCPs. receive
some/all care thru ER. Unable to afford PCP. Do not follow up from ER w/ PCP. wait till super sick and
most of time get admitted
T/F Healthcare spending in America has risen faster than the cost of living index for decades>>> true
t/f new medical diagnostic technologies and new therapies reduce healthcare costs by reducing the time
between disease onset and proper treatmnet>>> false
T/F the patient protection and affordable care act of 2010 eliminated the donut hole in prescription drug
benefits for medicare beneficiaries>>> true
, Many healthcare insurance companies offer incentives for covered persons to improve their health by
exercising, not using tobacco products, and losing weight. When such incentives work, the insurance
companies' costs should go __ and future medicare costs of inviduals should go __>>> Down, up
which factor is most responsible for causing rapid rises in the salaries of healthcare professionals>>> a
shortage of qualified professionals
what is the most likely reason that some individuasl in Massachusetts pays the fine of approx $1000
each year for not having approved healthcare insurance policy>>> they do not expect to need
healthcare, and the fine is less than the premiums
Healthcare insurance premiums increased significantly shortly after passage of the patient protection
and affordable care act of 2010. A part of the increased premiums was due to ___>>> no deductibles or
co payments for preventative care services
which program provides federal funds for the automation of electronic medical records>>> health
information technology for economic and clinical health act
t/f proponents of government run or government funded healthcare for all residents call such a system
universal healthcare>>> true
Why will medicare cost rise of the next two decades even if cost control efforts prevent an increase in
the average cost per medicare benficiary per year>>> baby boomers. They will go to nursing homes with
limited coverage for nursing homes. d/t chronic conditions, cont with med care. average age of living
continues to increase, more chronic conditions constant med care.
Explain why widespread use of high deductible healthcare insurance plans would probably reduce the
costs of routine outpatient services>>> individual has to pay more for care they are more liekly to ask
about costs of services and choose less expensive testing or services or decline unnecessary testing
What are the economic justification for specialist physicians receiving high fees for services>>> more
school to pay for and enter the work force later d/t school requirements.
t/f manual accounting systems use records referred to as ledgers>>> true
t/f the amount of money owed to a medical practice for service provided today is entered as a credit in
the expense account>>> false
t/f in double entry accounting, interest paid on a loan is posted as an expense>>> true
t/f a computerized double entry accounting system will never allow the posting of a transaction in which
the credits and debits do not match>>> true
in double entry accounting a trial balance is prepared. the expected result is ___>>> the credit accounts
and debit accounts have equal totals
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