HSC 310 Exam 1 Questions with Correct Answers (Already Graded A+)
Reasons employment-based system left some uninsured - Answer- Small businesses cannot get group insurance at affordable rates and are unable to offer insurance
Participation in insurance programs may be voluntary
Affordable Ca...
HSC 310 Exam 1 Questions with Correct
Answers (Already Graded A+)
Reasons employment-based system left some uninsured - Answer- Small businesses
cannot get group insurance at affordable rates and are unable to offer insurance
Participation in insurance programs may be voluntary
Affordable Care Act - Answer- Required all U.S. citizens and legal residents to be
covered by public or private insurance
UPDATE: The individual mandate ended with the passing of the tax bill in December
2017 (Repeal begins during the 2019 tax period)
Environmental influences shape the health care system: - Answer- Political climate
Economic development
Technological progress
Social and cultural values
Physical environment
Population characteristics (demographics, health trends)
Global influences
Ten Basic Characteristics Differentiate the U.S. Health Care Delivery System - Answer-
No central agency governs the system
Access to health care services is selectively based on insurance coverage
Health care is delivered under imperfect market conditions
Third-party insurers act as intermediaries between the financing and delivery functions
The existence of multiple payers makes the system cumbersome
The balance of power among players prevents any single entity from dominating the
system
Legal risks influence practice behavior of physicians
Development of new technology creates an automatic demand for its use
New service settings have evolved along a continuum
Quality is not accepted as an unachievable goal
No central agency - Answer- Most developed nations have national health care
To control costs, use global budget to determine total health care expenses
Government controls proliferation of health services
U.S. has mostly private financing and delivery
Financing via employers 52% and government 48%
Private health care, hospitals, and physicians are independent of government
No one monitors total expenses through global budgets and utilization
U.S. determines public-sector expenses and reimbursement rates for
Medicare/Medicaid/CHIP
Government sets standards of participation
, Providers must comply with standards to be certified to provide care for Medicaid and
Medicare patients
Certification standards are regarded as minimum standards of quality
access - Answer- the ability to obtain health care when needed
Americans can access health care services: - Answer- Through their employers
Under a government health care program
By buying insurance using private funds
By paying for services privately
By obtaining charity or subsidized care
(health insurance helps ensure access)
Uninsured Americans - Answer- Able to obtain medical care for acute (severe) illness
Form of universal catastrophic health insurance
Usually forego basic and routine care
Universal access - Answer- Countries with national health care programs provide
universal coverage
The ability of all citizens to obtain health care when needed is mostly a theoretical
concept
The U.S. has a quasi-market where - Answer- health care is partially managed by free
markets
In a free market, multiple patients and providers act - Answer- independently
(Providers do not collude to fix prices
Prices are set by the interaction of supply and demand
Inverse relationship between quantity of services demanded and price of services
Equilibrium is achieved without interference)
Item-based pricing (fee-for-service) - Answer- Fees charged for service (surgeon's
price)
Phantom providers - Answer- Bill for services separately
Package pricing - Answer- Bundled fee for a group of related services
Third-Party Insurers and Payers - Answer- Patient is the first party
Provider is the second party
Intermediary (e.g., insurer, government) is the third party
A wall of separation between financing and delivery
Single-payer system - Answer- A national health care system that is usually the primary
payer, the government
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Scholarsstudyguide. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
