One main feature of the US healthcare system is that - correct answer -It si fragmented
The system has undergone many changes in response to: - correct answer -1. Cost
2. Access
3. Quality
Government run programs - correct answer -Finance and insure health for a select group of people who ...
HSA 6114 Exam 1 2023 with 100%
correct answers
One main feature of the US healthcare system is that - correct answer -It si fragmented
The system has undergone many changes in response to: - correct answer -1. Cost
2. Access
3. Quality
Government run programs - correct answer -Finance and insure health for a select group of people who
meet the program eligibility criteria.
EX: Medicare/Medicaid/ CHIP
Employers purchase health insurance for their employers though - correct answer -Private sources
Employees receive healthcare services delivered by the private sector
The health system in America fails by - correct answer -not delivering equitable care and services to
every American
An acceptable healthcare delivery system should have two primary objectives: - correct answer -1.
Enable citizens to obtain needed healthcare services
2. The services must be cost effective and meet quality standards
Health care delivery incorporates four functional components - correct answer -1. Financing
2. Insurance
3. Delivery
,4. Payment
Its called the Quad Function Model
The four functions overlap but the degree of overlap varies from private, government systems
Most Privately Insured Americans health insurance is - correct answer -Employment Based
Employers finance healthcare as a benefit
Most employers purchase insurance for their employers through MCOs
In public programs the government functions as the finance
Insurance Function - correct answer -Determines the package of benefits the patient is entailed to
receive
It secures how and where health services can be received
Delivery - correct answer -Provision of health care services by various providers
Provider - correct answer -Refers to any entity that delivers health care services
Example: Physicians, Dentist, Hospitals
Payment function - correct answer -deals with reimbursement to providers for services delivered
The insurer determines how much is paid for a certain service
, In government insurance plans ____________ are used to pay the providers - correct answer -Tax
revenues
Premium Cost Sharing - correct answer -When employers do not pay 100% premium, the employee will
pay some of that premium
Working people earning low wages are most likely to be uninsured because - correct answer -They can
not afford the cost premium cost sharing and are not eligible for public benefits
Healthcare Reform - correct answer -Expanding insurance to cover the uninsured
The ACA - correct answer -All legal citizens be covered by private or public insurance
If you do not have insurance you must obtain health insurance from a insurance companies through the
web based government tun exchange
Failing to do so you will to pay a penalty
The main function of the health insurance market place exchange is - correct answer -to first determine
if an applicant qualifies for Medicaide or CHIP
Utilization - correct answer -The quantity of health services consumed
Manages Care - correct answer -A system of healthcare delivery that:
1. Achieve efficiencies to employ the four functions of healthcare
2. Employ mechanisms to control the utilization of services
3. Determine price at which the series are purchased, and how much the providers get paid
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