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HSA 3111 Final Exam Questions And Accurate
Answers Graded A+

Patient behaviors, in the past, regarding health care delivery system were formed from
authoritarian positions of better-educated providers who expected that patients be
compliant and grateful. Today, health care providers and consumers - Answer
encourage more proactive roles for patients' participation in health care decisions with
"shared decision-making"



The US healthcare delivery system has many stakeholders. Which of the following pairs
of stakeholders is most influential financially, in terms of control of parameters of the
delivery system for most Americans, and in terms of influence on both consumers and
providers of health care? Answer Government and private health insurers



Of the levels of prevention associated with the natural history of disease, primary
prevention refers to: - Answer health education and specific protection



In the natural history of a disease, the pre-pathogenesis period refers to - Answer
Behavioral, genetic, environmental and other factors that may contribute to an
individual's likelihood of contracting a disease



Americans spend $9 billion + each year on alternative and complementary therapies.
This has caused many private insurers and Medicare and Medicaid to provide benefit
coverage for certain treatments



The service priorities of the U.S. health care system reflect America's fascination with
dramatic high-tech medicine. Consequently little of the health care dollar is spent on
prevention

the US system is the most expensive in the world

- the US has the world's most advanced medical capability

U.S. annual health care expenditures far outstrip those of 7 other developed nations. In

,relationship with expenditures, U.S. health population status ranking on critical
indicators in comparison with those other developed nations is - Answer Dismally lower



Conflicts of interest for physicians occur when physicians own or invest in businesses to
which they refer patients for the purpose of generating profits, such as diagnostic or
medical supply companies. In response to such physician conflict of interest concerns -
Answer The ACA provides for "Sunshine provisions" requiring the reporting of all
financial transactions and transfers of value between manufacturers of
pharmaceutical/biologic products and physicians, hospitals and other entities
reimbursed by the federal government.



Long term care needs of older, chronically ill Americans pose a particular delivery
system challenge because - Answer Neither Medicare nor private insurance support
ongoing, non-acute services



The major health care advances of the second half of the 20th century were in the area
of - Answer vaccines and antibiotics to prevent and control infectious diseases,
tranquilizers, the birth control pill



Blue Cross Hospital Insurance, the predominant form of health insurance for decades,
was modeled after - Answer Baylor University Hospital's school teachers plan



The Medicaid program has a history of very low reimbursement as compared with
Medicare reimbursement; critics site low Medicaid reimbursement as a major reason
that primary care doctors have rejected serving the Medicaid population. An ACA
provision addresses this issue by - Answer Reimbursing states for primary care
physician fees for Medicaid patients at no less than100% of Medicare payment rates



The explosion of science and technology in the 1970s resulted in which of the following?
- Answer - Encouragement for physicians' specialization

- Higher costs of health care

- Medical school efforts to attract more students to primary care



As early as the 19th century some Americans carried "health insurance" through

, employers, fraternal orders, guilds, trade associations, unions or commercial insurance
companies. However unlike health insurance of today these insurance policies only
provided for - Answer Fixed payments to compensate for lost wages due to injury,
sickness or disability



The Oregon Death with Dignity Act was a response to which of the following - Answer
public and professional concerns about painful and demeaning terminal medical care



The American Medical Association's initial reaction to Blue Cross hospital insurance
plans suggested that the plans: - Answer Were unsound and unethical



A central provision of the ACA to assure health care coverage for most Americans is -
Answer the individual mandate



Up to that time, the most far-reaching social legislation passed by any Congress in the
history of the United States was the - Answer Social Security Act of 1935



To receive incentive payments for showing "meaningful use," providers must fulfill
criteria in three stages of EHR implementation. In which stage are providers required to
meet objectives regarding "capturing patient data and sharing data in a standardized
format with patients and other health care professionals? -Answer Stage 1



Name two major concerns about ACA for many -Answer individual mandate & Medicaid
expansion



HIPAA implementation brought in a number of new provisions that were advantageous
to the individual. Besides the provision for privacy of data for the patient, another
important provision was - Answer Elimination of preexisting periods for individuals
moving from job-to-job



Which of the following is synonymous with an EHR - Answer None of the above



This key Act provided financial incentive programs for physicians to buy, install and

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