HCD Exam Answered

HCD Exam Answered Which of the following statements is true? A) The world health system ranking reports cannot be trusted as these reports all use different measures for establishing their rankings B) It doesn't seem to matter which measures are used within international health systems rankings, the US healthcare system performs poorly amongst other developed nations C) The world health systems ranking reports cannot be trusted as these are not reputable sources D) The Commonwealth Fund report clearly ranks the US healthcare system much better than the others - Answer- B) It doesn't seem to matter which measures are used within international health systems rankings, the US healthcare system performs poorly amongst other developed nations What are the 4 components of a healthcare system? A) Shared beliefs, values, communication, and a strong shared vision B) Pharmaceutical industry, hospitals, doctors, and insurance companies C) People, parts, interrelationships, and culture D) Payers, patients, providers, and parts - Answer- C) People, parts, interrelationships, and culture What are the 3 goals of a healthcare system? (Select all that apply) A) Easy access B) Patient satisfaction C) High quality D) Universal coverage, regardless of cost E) Low cost - Answer- A) Easy access, C) High quality, E) Low cost Which of the following are measures of quality within a healthcare system? A) Patient satisfaction B) Patient outcomes C) Patient safety D) Patient insurance status - Answer- A) Patient satisfaction, B) Patient outcomes, C) Patient safety Which of the following are measures of cost within a healthcare system? (Select all that apply). A) Cost per procedure such as a knee or hip replacement B) Patient insurance status such as insured or uninsured C) Patient tax bracket D) Healthcare spending as a % of the GDP E) Patient income level - Answer- A) Cost per procedure such as a knee or hip replacement, D) Healthcare spending as a % of the GDP Which of the following is NOT a measure of access within a healthcare system? A) Physician to patient ratios B) Patient income level C) Patient insurance status such as insured or uninsured D) Patient insurance coverage E) Geographical proximity to needed services - Answer- B) Patient income level When analyzing healthcare systems, spending as a percent of the GDP is often considered. What does this measure tell us? A) The amount of dollars spent on healthcare every year B) The percent of money spent on healthcare every year in one country, in relation to the percent of money spent on healthcare in the same year in other countries C) The amount of total dollars spent throughout all industries in an entire year D) The percent of money spent on healthcare by insurance companies versus out-of-pocket by individual patients E) The percent of money spent on healthcare every year, in relation to the total amount spent throughout all industries in the same year - Answer- E) The percent of money spent on healthcare every year, in relation to the total amount spent throughout all industries in the same year The US has universal coverage. True or False - Answer- False There is high variability in cost, quality, and access throughout the US healthcare system. True or False - Answer- True In addition to cost, quality and access, which can be considered a building block of health systems? A) Innovation B) Culture C) Politics D) Religion - Answer- A) Innovation What does the term universal access mean? A) That everyone has access to health insurance, no matter where they are in the world B) That everyone in a country has access to equal coverage of health insurance C) That everyone in a country has access to healthcare services, regardless of health insurance status D) That everyone within a country has access to some form of health insurance - Answer- D) That everyone within a country has access to some form of health insurance What type of health insurance programs became popular immediately after WWII? A) Employer-based insurance B) Medicaid C) Medicare D) VA/Tricare - Answer- A) Employer-based insurance What is a premium? A) The set percentage of the bill that must be paid at the point of service B) The amount paid monthly for a health insurance plan C) The amount that must be paid out-of-pocket annually, before insurance coverage kicks in D) The set dollar amount that you must pay at the point of service - Answer- B) The amount paid monthly for a health insurance plan What is a deductible? A) The set percentage of the bill that must be paid at the point of service B) The set dollar amount that you must pay at the point of service C) The amount that must be paid out-of-pocket annually, before insurance coverage kicks in D) The amount paid monthly for a health insurance plan - Answer- C) The amount that must be paid out-of-pocket annually, before insurance coverage kicks in What is a copayment? A) The amount paid monthly for a health insurance plan B) The set dollar amount that you must pay at the point of service C) The amount that must be paid out-of-pocket annually, before insurance coverage kicks in D) The set percentage of the bill that must be paid at the point of service - Answer- B) The set dollar amount that you must pay at the point of service What is co-insurance? A) The set percentage of the bill that must be paid at the point of service B) The amount that must be paid out-of-pocket annually, before insurance coverage kicks in C) The set dollar amount that you must pay at the point of service D) The amount paid monthly for a health insurance plan - Answer- A) The set percentage of the bill that must be paid at the point of service What is a gatekeeper? A) It is when a patient has the ability to go see any provider they want, at any point in time B) It's a drug that is seen to lead to more severe drug use C) It's when a health plan dictates that a patient must get referred by their PCP to see a specialist D) It's when a health plan has an exclusive provider network - Answer- C) It's when a health plan dictates that a patient must get referred by their PCP to see a specialist Match the following parts of Medicare with the associated services they cover? A - Answer- Inpatient services Match the following parts of Medicare with the associated services they cover? B - Answer- Physician services Match the following parts of Medicare with the associated services they cover? C - Answer- Medicare advantage plan Match the following parts of Medicare with the associated services they cover? D - Answer- prescription drugs Who is covered by Medicare? (Select all that apply). A) Elderly B) Low-income C) Patients with end-stage renal disease D) Disabled - Answer- A) Elderly, C) Patients with end-stage renal disease, D) Disabled Who is covered under traditional Medicaid program? (Select all that apply). A) Elderly B) Disabled C) Low-income D) Pregnant women - Answer- B) Disabled, C) Low-income, D) Pregnant women Which of the following is considered to be forms of 'bundled payments'? A) Pay-for-performance B) Salary C) Per Diem D) DRGs E) Fee-for-service - Answer- D) DRGs Which payment model reimburses organizations and/or providers based upon the number of days treatment was given? A) Salary B) Fee-for-service C) Per diem D) Capitation - Answer- C) Per diem What does the term prospective mean? A) It's another term for bundled payments B) It is when the reimbursement amount for a service or group of services are set in advance C) It is when the reimbursement amount for a service or group of services are set after treatment is given and is based upon the overall quality of care given D) It means that patient's have to call their insurance company ahead of their treatment to negotiate their cost of care - Answer- B) It is when the reimbursement amount for a service or group of services are set in advance