303 HCD 303 Final Study Guide Questions With Complete
Solutions
4 models of healthcare Correct Answers o Where in the US are
each of the models represented
-Beveridege model
· --VA
-Bismarck model
· --Average worker
-National insurance model
·--Medicare
-Out-of-pocket model
·--unisured
Access Correct Answers o Insurance coverage
o How close distance wise is the healthcare service
o Insurance status
o Physician and patient ratios
Beven - who was he and what was his role Correct Answers o
he Minister of Health in The United Kingdom that is responsible
for passing the National Health Service into law
Beveridge - who was he and what was his role Correct Answers
o Civil servant who developed the structure that would
eventually become the National Health Service in the United
Kingdom
Bismarck - who was he and what was his role Correct Answers
o The 1st Chancellor of Germany who developed the structure
, that would eventually become the healthcare model in that
country
Bundled payments (DRG, EDGR, Reference pricing) Correct
Answers o Reference pricing allows hospitals to charge
whatever they choose, while DRGs does not
Capitation Correct Answers o A payment model provides the
least financial risk for payers and the most financial risk for
providers
Centralized Correct Answers o Regulations and oversight of
the system is organized at the federal level
Coinsurance Correct Answers o A set % of the bill that must be
paid at the point of service
-To help patients seek appropriate level care
Components of a healthcare system Correct Answers o People,
parts, interrelationship, and culture
Copayment Correct Answers o Set dollar amount that you must
pay at the point of service
-To help patients seek appropriate level care
Cost Correct Answers o Cost per procedure
o Healthcare spending as percent of the GDP
Cost-sharing Correct Answers o Cost sharing is a means by
which to keep patients from over-utilizing healthcare services
Solutions
4 models of healthcare Correct Answers o Where in the US are
each of the models represented
-Beveridege model
· --VA
-Bismarck model
· --Average worker
-National insurance model
·--Medicare
-Out-of-pocket model
·--unisured
Access Correct Answers o Insurance coverage
o How close distance wise is the healthcare service
o Insurance status
o Physician and patient ratios
Beven - who was he and what was his role Correct Answers o
he Minister of Health in The United Kingdom that is responsible
for passing the National Health Service into law
Beveridge - who was he and what was his role Correct Answers
o Civil servant who developed the structure that would
eventually become the National Health Service in the United
Kingdom
Bismarck - who was he and what was his role Correct Answers
o The 1st Chancellor of Germany who developed the structure
, that would eventually become the healthcare model in that
country
Bundled payments (DRG, EDGR, Reference pricing) Correct
Answers o Reference pricing allows hospitals to charge
whatever they choose, while DRGs does not
Capitation Correct Answers o A payment model provides the
least financial risk for payers and the most financial risk for
providers
Centralized Correct Answers o Regulations and oversight of
the system is organized at the federal level
Coinsurance Correct Answers o A set % of the bill that must be
paid at the point of service
-To help patients seek appropriate level care
Components of a healthcare system Correct Answers o People,
parts, interrelationship, and culture
Copayment Correct Answers o Set dollar amount that you must
pay at the point of service
-To help patients seek appropriate level care
Cost Correct Answers o Cost per procedure
o Healthcare spending as percent of the GDP
Cost-sharing Correct Answers o Cost sharing is a means by
which to keep patients from over-utilizing healthcare services
