What happens if someone can't pay the cost of someone coming in who needs emergency care? correct answers The hospital has to cover the costs.
How does a hospital compensate for the costs it covers correct answers The way they compensate is by raising the prices of their services.
What is hea...
HP 353 Exam #1 || with Complete Solutions.
What happens if someone can't pay the cost of someone coming in who needs emergency care?
correct answers The hospital has to cover the costs.
How does a hospital compensate for the costs it covers correct answers The way they
compensate is by raising the prices of their services.
What is health? correct answers Health is a state of complete physical, mental and social well-
being and not merely the absence of disease or infirmity.
There are 4 primary determinants that can lead to premature death. These include correct
answers 1) Lifestyle and behaviors
Smoking, opioid crisis
2) Genetics
3) Social and environmental factors
Occupation (construction workers)
4) Medical care
Access (can't afford copayments)
What is the primary goal of a health care system? correct answers To enable all individuals to
access HC that is cost effective and meets quality standards
What are the strengths of the U.S. health system? (3) correct answers -Technology
-Research
-Medical training
Weaknesses of the U.S. health care system (6) correct answers -financing
-administrative costs
-access
-long term care insurance coverage
-prevention
-per capita cost
Why is financing a weakness of the US health care system correct answers Financing is
primarily employer-based as a fringe benefit
Why are Administrative costs a weakness of the US health care system correct answers Lack of
overall planning, direction, and coordination- Administrative costs in the U.S. are 300% higher
than in Canada
Why is access a weakness of the US health care system correct answers Access to health care is
compromised for people with low socioeconomic status (income, education, occupation)
Why is long term care insurance coverage a weakness of the US health care system correct
answers Lack of long term care insurance coverage
,Why is prevention a weakness of the US health care system. correct answers Only 2.9% of health
care dollars, $2.5 trillion in 2015 was spent on programs that focus on illness prevention
Why is per capita cost a weakness of the US health care system. correct answers High per capita
cost in contrast to low health outcomes ranking
Total spending on health in the US in 2017= correct answers $9892/person
What is a premium like? correct answers A membership cost
The average annual premium for employment-based care in 2017... correct answers was $18764
Average annual worker contribution to premiums for 2017 was = correct answers $5714
Health System Efficiency (Performance) Ranking of 55 Countries 2018
The U.S. was # correct answers 50
Why do we have many different systems for healthcare in the US correct answers We have many
different systems in the US as we rely on for-profit health insurance companies to pay the bills
How would we pay for healthcare coverage? correct answers Tax Increases
Spending cuts
Both
The Law includes Provisions for healthcare to: correct answers 1)Expand coverage
2)Control costs
3)Improve delivery
Most people need to buy a supplement when they have...? correct answers Medicare
In the 1900's who are:
the players?
place?
payment?
who has power? correct answers Who: Doctors, patients
Where: patient home
How: barter/trade
Power: doctors
In the 1950's who are:
the players?
place?
payment?
who has power? correct answers Who: Insurance companies
Where: hospital
In the 2000's who are:
the players?
place?
payment?
who has power? correct answers Who: Insurance companies, employees, government
Where: increase in dr. offices, pharmacies, clinics, and telephone; decrease in hospital stays
How: employment-based, taxes
Power: Insurance companies, employers, gov.
Who is a big stakeholder in healthcare? correct answers vendors for equipment and devices
Modes of paying for Health Care (4) correct answers 1. Out of Pocket Payment
2. Individual Private Insurance (you bought it on your own)
3. Employment-Based Private Insurance
4. Government Financing and subsidies (below poverty level)
What are the two main types of healthcare financing correct answers Government financing and
employment based private insurance
What are the problems with out of pocket payment? correct answers Unpredictability
-Frequency
-Cost
why would we see an increase in out of pocket payments? correct answers in an effort to control
premium costs
What are the problems with Individual Private Insurance? correct answers Very Expensive
More expensive than group rates
What % of the population has Individual Private Insurance correct answers 5% of the population
In contrast to the consumer-driven development of health insurance in the European nations,
coverage in the United States was initiated by... correct answers health care providers seeking a
steady source of income
The growth of Employment-Based Private Insurance correct answers WWII Wage and Price
Controls prevented wage increases
--Allowed growth of fringe benefits
Unions began negotiating for benefits
Employer premiums were a tax-deductible business expense
Employee "benefit plan" was not taxable income
Government subsidy of private health insurance = $200 Billion/yr
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