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MHA 707 Exam D 2024 with Questions and Answers
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MHA 707 Exam D 2024 with Questions and Answers
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MHA 707 Exam D 2024 with Questions andAnswers
Effective drug therapies and safer surgery - ✔✔____ and _____ motivated reformers to
extend the reach of professional medical attention to the entire population for the first time
info - ✔✔Paying for health care services and therapeutics was a major issue
Only the well-to-do could afford all the benefits of improved medical care
A problem for both patients and providers, since hospitals and physicians needed paying
patients to provide and improve services
- ✔✔Access to health care for members of the military and their families, as well as
veterans, had become a public sector initiative since 1811
Federal government continued to build a military health care system
Military system continued to grow and develop during the 20th century
were Blue Cross and Blue Shield - ✔✔Developing employer-based health insurance (cont'd)
The leading employer-based health insurance plans were_______
1929 BCBS establised to provide "prepaid" hospital care - ✔✔In 1929, Blue Cross plans were
established to provide ________ to workers in the Dallas public school system
-Baylor University Hospital came forward with the plan
50 cents - ✔✔It provided teachers with hospital care at Baylor in exchange for small monthly
payments of _____ cents
Plan was inspired by the observation of a Baylor Hospital official that Americans were spending
less on medical care than on cosmetics [if only that was still true]
,Employees couldnt get raises but they could get more Benefits! - ✔✔After the United States
entered World War II, caps on wages fostered employer-based health insurance to attract
scarce workers
Subsequently, Blue Cross and Blue Shield plans developed nationwide
24 million members served
81 hospital plans
44 medical plans - ✔✔n the 1940s, Blue Cross-Blue Shield began to unify as one company
Together they served 24 million members
Included 81 hospital plans and 44 medical plans
52mil BC
40 mil BS
Blue Cross and Blue Shield covered 33% of federal employees - ✔✔By the 1960s, Blue Cross
had ____million members and Blue Shield had 40 million members
Blue Cross and Blue Shield covered 33% of federal employees
community rating - ✔✔Consistent with their charitable mission, Blue Cross and Blue Shield
plans used _______, not experience rating, to set prices for their products [data was too poor
to do anything else]
-Medicare for people 65 and older
-Medicaid for uninsured, low-income people
-Children's Health Insurance Program (CHIP) for uninsured, moderate income - ✔✔As a
result, between 1965 and 1999, Congress passed legislation for three groups not covered by
employer-based insurance:
Medicare for people 65 and older
Medicaid for uninsured, low-income people
, Children's Health Insurance Program (CHIP) for uninsured, moderate income
EMTALA and HIPAA - ✔✔Filling gaps in health care coverage:
1)___
2)____
The complex system of private and public health insurance, with many people covered through
employment, created gaps in coverage
For example, people who changed jobs or lost jobs - ✔✔In 1986, two federal health policies
enacted to solve problems related to health care coverage:
-Emergency Medical Treatment and Labor Act (EMTALA)
-Health Insurance Portability and Accountability Act (HIPAA)
two-day - ✔✔Continuity or "portability" of coverage in the private health insurance markets
Health insurance coverage for at least a ________ hospital stay for women who give birth
vaginally and four days for cesarean deliveries (C-sections) - sponsored by Texas Senator Phil
Gramm
Mental health - ✔✔____ was given the same status as physical health by the HIPAA
legislation
HIPPA - ✔✔also created national standards for certain electronic health care transactions to
improve efficiency and privacy
Important to constrain discrimination because of poor health status
Hill-Burton Act - ✔✔Community hospitals built with federal funds through ___________
private sector - ✔✔Voluntary, nonprofit hospitals built by _______
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