what are two primary objectives of a health care delivery system? - correct answer 1. Enable all citizens to obtain needed health care services. 2. Ensure cost-effective services and meet quality standards.
provider - correct answer Any entity that delivers health care services and either indepe...
HSA 201 exam 1 2023 with 100% correct
answers
what are two primary objectives of a health care delivery system? - correct answer 1. Enable all citizens
to obtain needed health care services. 2. Ensure cost-effective services and meet quality standards.
provider - correct answer Any entity that delivers health care services and either independently bills for
those services or is supported through tax revenues.
reimbursement - correct answer the amount paid to a provider by the insurer. it may be only a portion
of the actual charge.
uninsured - correct answer people who are without health insurance coverage
medicare - correct answer government insurance program for the elderly and certain disabled people
medicaid - correct answer government insurance program for the indigent
access - correct answer the ability of an individual to receive health care services when needed, not the
same as having health insurance
primary care - correct answer basic and routine care delivered by a general practitioner.
universal coverage - correct answer all citizens have access to insurance that provides at least a basic
package of health care services
capitation - correct answer reimbursement mechanism under which the provider is paid a set monthly
fee per enrollee regardless of whether the enrollee sees the provider and how often the enrollee sees
the provider
, What is a third-party payer? - correct answer An intermediary between patients and providers. Third
parties carry out the functions of insurance and payment for health care delivery
administrative cost - correct answer incidental to the delivery of health services. are associated with the
billing and collection of claims for services delivered, and also include numerous other costs.
balance bill - correct answer the leftover sum that a provider bills to the patient after insurance has only
partially paid the charge that was initially billed.
defensive medicine - correct answer the delivery of services and maintenance of documentation
undertaken primarily to guard against the risk of malpractice lawsuits
demand - correct answer quantity of health care demanded by consumers based solely on the price of
those services
enrollee - correct answer an individual enrolled in a health plan and therefore entitled to receive health
services the plan provides
free market - correct answer characterized by the unencumbered operation of the forces of supply and
demand when numerous buyers and sellers freely interact in a competitive market
global budgets - correct answer used to control costs in centrally managed systems .
health care reform - correct answer expansion of health insurance to cover the uninsured
health plan - correct answer contractual arrangement between the MCO and the enrollee.
managed care - correct answer system of health care delivery that seeks to achieve efficiencies by
integrating the four functions of health care delivery, employs mechanisms to control utilization of
medical services, and determines the price at which the services are purchased and hoe much the
providers get paid.
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