HCD 303 FINAL EXAM STUDY GUIDE
COMPLETE QUESTIONS AND 100%
VERIFIED ANSWERS
\.System - ANSWERS✔-a set of connected things or parts forming a complex
whole
\.Quality - ANSWERS✔-how good or bad something is
\.Access - ANSWERS✔-a person's ability to get care or coverage
\.Cost - ANSWERS✔-cost
\.Universal Coverage - ANSWERS✔-all residents have coverage
\.Social Solidarity - ANSWERS✔-the principle that governments have an obligation
to ensure that every citizen has access to all social services including healthcare
\.Subsidiarity - ANSWERS✔-the principle belief that matter of government
responsibility should be handled at the lowest level of government that makes
operational sense
,\.General Reciprocity - ANSWERS✔-the principle belief in giving to something
knowing that you may not get an immediate returned benefititifif
\.Centralized - ANSWERS✔-Organized at the federal level
\.Decentralized - ANSWERS✔-Organized at the regional or state level
\.Public Health Services/Insurance - ANSWERS✔-public, government run
\.Private Health Services/Insurance - ANSWERS✔-private, privately run
Only those who make over ~$70,000/year qualify
The premium is set by your performance on an individual health assessment
\.Copayment - ANSWERS✔-The set dollar amount that you must pay at the point
of service
\.Coinsurance - ANSWERS✔-The set percentage of the bill that must be paid at the
point of service
\.Deductible - ANSWERS✔-The amount that must be paid out-of-pocket annually,
before insurance coverage kicks in
,\.Sickness Funds - ANSWERS✔-~130 sickness funds today (although this number is
continually dropping)
Covers ~ 86% of the country's population
Membership is mandatory
Must pay a legally mandated premium of 14.6% of their income (through payroll
deduction)
Split between employer and employee
Percent of premium is determined by income
~11% of the population opts out of the SHI and opts for Private Health Insurance
(PHI)
Percent of premium is determined by health assessment and is risk-adjusted
\.Safety Net - ANSWERS✔-Children under 18 years of age exempt from all cost-
sharing
Adults:
Annual cap equal to 2% of household income
Annual cap lowered to 1% of household income for qualifying chronically ill
people
Unemployed contribute to SHI in proportion to their unemployment entitlements;
For long term unemployed government contributes on their behalf
\.Cost Sharing - ANSWERS✔-Cost Sharing (all USD):
Outpatient Prescriptions: $6.40 - $12.70
Inpatient Stay: $10.00/day (first 28 days/yr)
Rehabilitation Stay: $10.00/day (first 28 days/yr)
, Deductibles: vary by sickness fund plan
Preventative services do not count towards deductible
\.Subsidy - ANSWERS✔-government assistance
\.Health Financing - ANSWERS✔-it is the function of a system concerned with the
mobilization, accumulation, and allocation of money to cover the health needs of
the people, individually and collectively, in the health system
\.Health Spending as % of GDP - ANSWERS✔-The percent of money spent on
healthcare every year, in relation to the total amount spent throughout all
industries in the same year
\.Fee-for-service (FFS) - ANSWERS✔-A payment model where all healthcare
services, products, and prescription medications are unbundled and paid for
separately.
incentive: Overtreatment, Provide more services, testing, and treatments that are
billable through an ICD-code.
\.Per Diem - ANSWERS✔-payment model that reimburses organizations and/or
providers based upon the number of days treatment was given
COMPLETE QUESTIONS AND 100%
VERIFIED ANSWERS
\.System - ANSWERS✔-a set of connected things or parts forming a complex
whole
\.Quality - ANSWERS✔-how good or bad something is
\.Access - ANSWERS✔-a person's ability to get care or coverage
\.Cost - ANSWERS✔-cost
\.Universal Coverage - ANSWERS✔-all residents have coverage
\.Social Solidarity - ANSWERS✔-the principle that governments have an obligation
to ensure that every citizen has access to all social services including healthcare
\.Subsidiarity - ANSWERS✔-the principle belief that matter of government
responsibility should be handled at the lowest level of government that makes
operational sense
,\.General Reciprocity - ANSWERS✔-the principle belief in giving to something
knowing that you may not get an immediate returned benefititifif
\.Centralized - ANSWERS✔-Organized at the federal level
\.Decentralized - ANSWERS✔-Organized at the regional or state level
\.Public Health Services/Insurance - ANSWERS✔-public, government run
\.Private Health Services/Insurance - ANSWERS✔-private, privately run
Only those who make over ~$70,000/year qualify
The premium is set by your performance on an individual health assessment
\.Copayment - ANSWERS✔-The set dollar amount that you must pay at the point
of service
\.Coinsurance - ANSWERS✔-The set percentage of the bill that must be paid at the
point of service
\.Deductible - ANSWERS✔-The amount that must be paid out-of-pocket annually,
before insurance coverage kicks in
,\.Sickness Funds - ANSWERS✔-~130 sickness funds today (although this number is
continually dropping)
Covers ~ 86% of the country's population
Membership is mandatory
Must pay a legally mandated premium of 14.6% of their income (through payroll
deduction)
Split between employer and employee
Percent of premium is determined by income
~11% of the population opts out of the SHI and opts for Private Health Insurance
(PHI)
Percent of premium is determined by health assessment and is risk-adjusted
\.Safety Net - ANSWERS✔-Children under 18 years of age exempt from all cost-
sharing
Adults:
Annual cap equal to 2% of household income
Annual cap lowered to 1% of household income for qualifying chronically ill
people
Unemployed contribute to SHI in proportion to their unemployment entitlements;
For long term unemployed government contributes on their behalf
\.Cost Sharing - ANSWERS✔-Cost Sharing (all USD):
Outpatient Prescriptions: $6.40 - $12.70
Inpatient Stay: $10.00/day (first 28 days/yr)
Rehabilitation Stay: $10.00/day (first 28 days/yr)
, Deductibles: vary by sickness fund plan
Preventative services do not count towards deductible
\.Subsidy - ANSWERS✔-government assistance
\.Health Financing - ANSWERS✔-it is the function of a system concerned with the
mobilization, accumulation, and allocation of money to cover the health needs of
the people, individually and collectively, in the health system
\.Health Spending as % of GDP - ANSWERS✔-The percent of money spent on
healthcare every year, in relation to the total amount spent throughout all
industries in the same year
\.Fee-for-service (FFS) - ANSWERS✔-A payment model where all healthcare
services, products, and prescription medications are unbundled and paid for
separately.
incentive: Overtreatment, Provide more services, testing, and treatments that are
billable through an ICD-code.
\.Per Diem - ANSWERS✔-payment model that reimburses organizations and/or
providers based upon the number of days treatment was given
