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HCM 2110 FINAL EXAM WITH CORRECT ACTUAL QUESTIONS AND CORRECTLY WELL DEFINED ANSWERS LATEST 2025 ALREADY GRADED A+

For a state to enroll its Medicaid beneficiaries in managed care, federal approval is necessary. a. True b. False - ANSWERfalse PO plan is a hybrid between HMO and POS plans. a. True b. False - ANSWERfalse Which of the following has benefited the most from organizational integration? a. The integrated organizations b. Patients c. The health care system d. Managed care organizations - ANSWERa. The integrated organizations HMO plans were created by insurance companies in response...

Interventions to alter individual health behaviors (such as reducing smoking) are _____________________________. - ANSWERInterventions to alter individual health behaviors (such as reducing smoking) are individual-level interventions. Interventions that improve the delivery of healthcare such as implementation of electronic health records are __________________. - ANSWERInterventions that improve the delivery of healthcare such as implementation of electronic health records are health care in...

Studies have shown that NPP services can: - ANSWERimprove access to primary care Health service administrators: - ANSWERare responsible for the operational, clinical, and financial outcomes of the entire organization Public health professionals: - ANSWERfocus on the community as a whole rather than treating the individual. NPPs practice in many areas in which physicians practice; however, NPPs do not have a medical degree. - ANSWERTrue There are more generalists than specialists in t...

A primary care provider where a person is likely to receive the first care for a given condition is called the - ANSWERpoint of entry The CHIP is focused on the health care of children. - ANSWERTrue What two main concerns dominate the debate today over Medicare reform policy? - ANSWERDecrease spending and provide comprehensive coverage How was the Medicare PPS system designed to curb escalating health care costs? - ANSWERBy providing a general fee schedule for services Which of the f...

If you needed a surgery that was not complex and would allow you to be cared for by family, what kind of outpatient facilities might you look into? -Private practices -Hospital outpatient facilities -Freestanding facilities -Mobile facilities - ANSWERFreestanding facilities Approximately how many visits per year does the average American make to see an office-based physician? -One -Two -Three -Four - ANSWERThree Characteristics of the medical home strategy include multidiscipli...

What type of care is described as "end of life care"? - ANSWERhospice Approximately how many visits per year does the average American make to see an office-based physician? - ANSWER3 Going beyond the biomedical model to include social and behavioral sciences is a major front of development for community-oriented primary care. - ANSWERfalse Areas in which primary care has a stronger presence have much lower health care costs - ANSWERtrue Alternative or complementary medicine re...

To problem solve in a systems environment: - ANSWER-Resist the urge to come to a quick conclusion -Avoid blame -Go deep into the whys -Find what we don't understand about the problem Systems thinking is particularly useful when there are ___________________ and __________________. - ANSWERchronic and seemingly unresolvable issues and failed attempts to solve a problem. Systems thinking requires understanding: - ANSWER-Interrelationships of those involved -Perspectives of those invol...

Two types of payment mechanisms commonly used in managed care plans are capitation and discounted fees - ANSWERTrue The US healthcare delivery system can be characterized as - ANSWERcomplex and massive The US government plays a limited role in the health delivery system. The governments role in the arena 0f health care delivery consists of - ANSWERbeing the responsible party for health care delivery through medicare and medicaid An integrated delivery system provides coordinated health ...

Why managed care was created? - ANSWERTo keep cost down Payers are saying healthcare is saying its too expensive What is capitation? - ANSWERPrice per head Stay under what we give, keep it Go over, pay it Tricare - ANSWERmilitary health plan Medicare - ANSWERelderly, disables, renal failure Medicaid - ANSWERdont make enough money HIV/AIDS - ANSWERlack of prevention Acute - ANSWERhurts now, wont last forever; broken arm chronic - ANSWERnot curable typically; cancer, diabet...