HCD 303 Exam Answered

HCD 303 Exam Answered Match the part of Medicare listed below with its corresponding definition - Answer- Part A- covers inpatient services Part B- covers outpatient services and physician fees Part C- portion of Medicare that can be purchased to have services provided by private health insurance organizations Part D- covers prescription medicines Which of the following statements is correct? Cost sharing is a means by which to keep patients from over-utilizing healthcare services Healthcare premiums are an example of cost-sharing What are the implications to the healthcare system in Germany when the Berlin Wall is torn down? - Answer- The country adopts the health system of West Germany which is highly decentralized What is a copayment - Answer- the set dollar amount that you must pay at the point of service Cost sharing is a means by which to incentivize patients to purchase insurance so they will not have to pay any out-of-pocket costs Since the healthcare system in the United Kingdom is entirely funded by the government, there is no cost-sharing necessary - Answer- Cost sharing is a means by which to keep patients from over-utilizing healthcare services Where did Bloomberg Business Report rank the US healthcare system? - Answer- 54th How does Lee Kuan Yew's underlying beliefs in the government’s role in healthcare differ from that of the United Kingdom? - Answer- He believes that a system that takes care of all of its citizens' needs would diminish the populations desire to succeed, where the UK believes that this is a shared responsibility of which the community/government has an obligation to provide completely Which of the following statements is true? The world health systems ranking reports cannot be trusted as these are not reputable sources The Commonwealth Fund report clearly ranks the US healthcare system much better than the others The world health system ranking reports cannot be trusted as these reports all use different measures for establishing their rankings It doesn't seem to matter which measures are used within international health system rankings, so the US healthcare system performs poorly amongst other developed nations - Answer- It doesn't seem to matter which measures are used within international health system rankings, so the US healthcare system performs poorly amongst other developed nations In the early 2000's the Surgeon General released two reports that ultimately led to the creation of which organization? - Answer- Institute of Medicine T or F: The terms decentralized and private are synonyms - Answer- False. Decentralized means system organization occurs at the state/regional level, while private means that ownership is non-governmental Which aspect of the US healthcare system is represented by the out-of-pocket model? - Answer- Uninsured population Why should we study health and healthcare disparities? - Answer- Our populations is extremely diverse, and become more-so with time, increasing the risk of populations being impacted greater Although some populations are impacted on a greater scale, the existence of disparities does impact all of us What is the NHS? - Answer- National Health Service What are the 4 components of a healthcare system? - Answer- People, parts, interrelationships, and culture The health insurance program in Singapore is designed as a low-premium, high-deductible plan to protect citizens from extremely high healthcare bills - Answer- Medishield In Singapore, this health insurance programs is specifically designed to help citizens in the lowest income bracket pay for their medical bills - Answer- Medifund What is a common theme we see with regards to healthcare reform efforts throughout Singapore's history? - Answer- A strong emphasis on public health and preventative health efforts What does mortality amenable to healthcare measure? - Answer- The deaths preventable within a healthcare system with timely and appropriate medical care Which of the following is NOT a measure of overall access of a healthcare system? Provider to patient ratios in a population Patient satisfaction Patient insurance status Proximity of healthcare services to the patient's home - Answer- Patient insurance status What are the two main branches of the federal government that oversee the healthcare system in Singapore? - Answer- Monetary Authority and The Ministry of Health In Germany, sickness funds are... - Answer- Decentralized and private In Singapore, what is the level of subsidy that citizen's in the lowest income bracket qualify for? - Answer- 80% What type of health insurance programs became popular immediately after WWII? - Answer- Employer-based insurance According to the Kaiser Family Foundation, what estimated percentage of the population will people of color compromise in the year 2050? - Answer- 54% Which of the following programs is NOT a public program? Medicaid in the United States Medisave in Singapore Sickness funds in Germany Medicare in the United States - Answer- Sickness funds in Germany When did Singapore become an independent country? - Answer- 1965 What are safety nets? - Answer- Programs put in place to protect vulnerable populations from cost-sharing Which are considered to be forms of "bundled payments"? - Answer- DRG's, capitation, and reference pricing In Singapore, healthcare spending accounts for what percentage of the GDP? - Answer- 5% What healthcare model is represented in Singapore? - Answer- National Health Insurance model If a citizen of Singapore is in the 2nd to lowest income bracket, they are expected to pay ___% of their medical bills, while the government will automatically cover ___% of their medical bills - Answer- 35%, 65% Which payment model provides the least financial risk for providers and the most financial risk for payers? - Answer- Fee-for-service What does the term universal access mean? - Answer- That everyone within a country has access to some form of health insurance What is a subsidy? - Answer- Government assistance What payment models are utilized to reimburse NHS hospitals? - Answer- Pay-for-performance, capitation, and DRG's How are primary care physicians reimbursed in Singapore? - Answer- Fee-for-service What is ONE lesson that the US can learn from recent reforms within the NHS? - Answer- Mixed incentives for healthcare organizations can stifle system redesign Where did the World Health Organization rank the US healthcare system? - Answer- 37th When referencing healthcare systems, the term centralized means: - Answer- regulations and oversight of the system is organized at the federal level What is the primary role of the Federal Ministry of Health in Germany? - Answer- Establish health policy, rules, and legislation by which the rest of the system must adhere What populations listed below would NOT be covered by both Medicare and Medicaid (dual-eligible)? Those of low-income with end stage renal disease Those of low-income who are pregnant or had a child within the last year Those of low-income with a disability Those of low-income over the age of 65 years - Answer- Those of low-income who are pregnant or had a child within the last year In properly defining health financing, what 3 matters that must be included? - Answer- accumulation, allocation, and mobilization