HCD 303 MIDTERM EXAM QUESTIONS
AND ANSWERS ALL CORRECT
What is the proper meaning of social solidarity? - Answer- The principle that the
government has a responsibility to ensure all citizens have access to essential social
services including healthcare
What is the proper meaning of subsidiarity? - Answer- The principle belief that matter of
government responsibility should be handled at the lowest level of government that
makes operational sense
What is the proper meaning of generalized reciprocity? - Answer- The principle belief in
giving to something knowing that you may not get an immediate returned benefit
How does the healthcare structure in Germany systematically integrate the principle of
social solidarity? - Answer- By mandating that providers and hospitals have to treat all
citizens, and that sickness funds must contract with any citizen, regardless of individual
circumstance
What is the primary role of the Federal Ministry of Health in Germany? Select all that
apply. - Answer- Establish health policy, rules & legislation by which the rest of the
system must adhere
They supervise the operations of the providers and sickness funds
How many distinct State Ministries of Health are there in Germany? - Answer- 16
Which of the following are responsibilities of the State Ministries of Health in Germany?
Select all that apply. - Answer- They are responsible for maintaining the healthcare
infrastructure of public hospitals throughout their region
Public health efforts
They supervise the operations of the providers and sickness funds
Does Germany have safety net programs? - Answer- Yes, children are exempt from all
cost-sharing and adults have a spending cap equal to 2% of their household income
In Germany, healthcare delivery is....(select all that apply) - Answer- Decentralized
Private
In Germany, sickness funds are....(select all that apply - Answer- Decentralized
, Private
In Germany, which of the following properly describes aspects of Statutory Health
Insurance? Select all that apply. - Answer- Is a marketplace where private sickness
funds market plans to citizens and/or business, much like the insurance marketplace in
the United States established by the Affordable Care Act
Covers approximately 87% of the population
Every German citizen qualifies
Is premium is set by your income level and is paid through payroll deduction
Which of the following properly describes aspects of Private Health Insurance? Select
all that apply. - Answer- The premium is set by your performance on an individual health
assessment
Only those who make over ~$65,000/year qualify
What percentage of the federal budget is attributed to healthcare in Germany? -
Answer- 4.3%
In Germany, healthcare spending accounts for what percentage of the GDP? - Answer-
11% (in 2017) 12.5% (in 2020)
In regards to healthcare expenditures by source of payment, how much of all
expenditures are made payable through Statutory Health Insurance plans? - Answer-
63%
What is the primary means by which money is accumulated within the healthcare
system in Germany? - Answer- Since the system in Germany is highly privatized money
is accumulated by the sickness funds through payroll deduction
How are primary care physicians paid in Germany? - Answer- Primarily through Fee-for-
Service based on a Uniform Fee Schedule and a billing point system
What is a uniform-fee schedule? - Answer- It refers to a billing point value for each type
of service (similar to US RVU)
What payment model is utilized to reimburse hospitals in Germany? - Answer-
Diagnosis Related Groups
At what level are reimbursement payment amounts set in Germany? - Answer- Regional
because the system in Germany is decentralized
AND ANSWERS ALL CORRECT
What is the proper meaning of social solidarity? - Answer- The principle that the
government has a responsibility to ensure all citizens have access to essential social
services including healthcare
What is the proper meaning of subsidiarity? - Answer- The principle belief that matter of
government responsibility should be handled at the lowest level of government that
makes operational sense
What is the proper meaning of generalized reciprocity? - Answer- The principle belief in
giving to something knowing that you may not get an immediate returned benefit
How does the healthcare structure in Germany systematically integrate the principle of
social solidarity? - Answer- By mandating that providers and hospitals have to treat all
citizens, and that sickness funds must contract with any citizen, regardless of individual
circumstance
What is the primary role of the Federal Ministry of Health in Germany? Select all that
apply. - Answer- Establish health policy, rules & legislation by which the rest of the
system must adhere
They supervise the operations of the providers and sickness funds
How many distinct State Ministries of Health are there in Germany? - Answer- 16
Which of the following are responsibilities of the State Ministries of Health in Germany?
Select all that apply. - Answer- They are responsible for maintaining the healthcare
infrastructure of public hospitals throughout their region
Public health efforts
They supervise the operations of the providers and sickness funds
Does Germany have safety net programs? - Answer- Yes, children are exempt from all
cost-sharing and adults have a spending cap equal to 2% of their household income
In Germany, healthcare delivery is....(select all that apply) - Answer- Decentralized
Private
In Germany, sickness funds are....(select all that apply - Answer- Decentralized
, Private
In Germany, which of the following properly describes aspects of Statutory Health
Insurance? Select all that apply. - Answer- Is a marketplace where private sickness
funds market plans to citizens and/or business, much like the insurance marketplace in
the United States established by the Affordable Care Act
Covers approximately 87% of the population
Every German citizen qualifies
Is premium is set by your income level and is paid through payroll deduction
Which of the following properly describes aspects of Private Health Insurance? Select
all that apply. - Answer- The premium is set by your performance on an individual health
assessment
Only those who make over ~$65,000/year qualify
What percentage of the federal budget is attributed to healthcare in Germany? -
Answer- 4.3%
In Germany, healthcare spending accounts for what percentage of the GDP? - Answer-
11% (in 2017) 12.5% (in 2020)
In regards to healthcare expenditures by source of payment, how much of all
expenditures are made payable through Statutory Health Insurance plans? - Answer-
63%
What is the primary means by which money is accumulated within the healthcare
system in Germany? - Answer- Since the system in Germany is highly privatized money
is accumulated by the sickness funds through payroll deduction
How are primary care physicians paid in Germany? - Answer- Primarily through Fee-for-
Service based on a Uniform Fee Schedule and a billing point system
What is a uniform-fee schedule? - Answer- It refers to a billing point value for each type
of service (similar to US RVU)
What payment model is utilized to reimburse hospitals in Germany? - Answer-
Diagnosis Related Groups
At what level are reimbursement payment amounts set in Germany? - Answer- Regional
because the system in Germany is decentralized
