Jonas’ Introduction to the U S Health Care System 9th Edition Goldsteen Test Bank
What was the first major stage of the hospital evolution? - ANSWER Almshouses
When did hospitals begin to attract well-to-do patients who could afford to pay privately? - ANSWER When hospitals offered superior medical services and surgical procedures that could not be offered at home.
Who opened the first proprietary hospitals? - ANSWER Physicians
What contributed to the growth of hospitals from 1930-1980? - ANSWER Hill-
Burton Act, Health Insurance, Technological advances
What were the main factors in the growth of hospitals in the United States? - ANSWER Hill- Burton Act, private insurance, Medicare and Medicaid
What is credited with having the greatest impact on the expansion of hospital beds in
the U.S.? - ANSWER Hill-Burton
What triggered the downsizing phase in the U.S. hospital industry during the 1980's?
- ANSWER Prospective Payment System
DRG-based reimbursement necessitated hospitals to do what? - ANSWER Discharge patients quicker than before
What are 'days of care'? - ANSWER The total number of patient days
T or F: 19th century almshouses provided mainly rehabilitation services - ANSWER
False
T or F: PPS and managed care had the desired effect of reducing the growth in hospital expenditures. - ANSWER True
T or F: Women are admitted to hospitals more often than men even after adjusting for childbearing - ANSWER True
T or F: Federal hospitals are classified as public hospitals, but they are not community hospitals because they do not serve the general public. - ANSWER True
T or F: The Internal Revenue Code forbids nonprofit hospitals to make a profit. - ANSWER False T or F: Compared to general hospitals, speciality hospitals offer services that are clinically superior. - ANSWER False
T or F: Most mental health care in the United States is delivered in psychiatric hospitals - ANSWER False
T or F: To refuse treatment is one of the basic rights of patients. - ANSWER True
What type of reimbursement method involves a fixed monthly sum per enrollee? - ANSWER Capitation
What is one aspect in which managed care differs from conventional insurance? - ANSWER Responsibility for delivery of services
The CMS uses ________ as an overall measure of a health plan's quality. - ANSWER A star-rating system
What was the main purpose of the Health Maintenance Organization Act of 1973? - ANSWER Provide an alternative to fee for service
Which group has the largest proportion enrolled in managed care plans? - ANSWER Workers in employer- sponsored plans
Which among the following employs tighter utilization controls than the other plans? -
ANSWER HMO's
In the gatekeeping method, who makes referrals to specialists? - ANSWER Primary care physician
In which type of management utilization is a primary care physicians opinion necessary in referring or not referring a patient to a specialist? - ANSWER Gatekeeping
Pre-certification is associated with which type of utilization review? - ANSWER Prospective
Monitoring a patient's progress prognosis for recovery becomes important in which type of utilization review? - ANSWER Concurrent
T or F: MCO's are accredited by the federal government - ANSWER False
T or F: Medicare's managed care option is called Medicare Advantage - ANSWER True
T or F: All Medicaid beneficiaries are required to enroll in managed care plans. - ANSWER False
T or F: Most medicare beneficiaries receive their health care through managed care plans. - ANSWER False
What was the first major stage of the hospital evolution? - ANSWER Almshouses
When did hospitals begin to attract well-to-do patients who could afford to pay privately? - ANSWER When hospitals offered superior medical services and surgical procedures that could not be offered at home.
Who opened the first proprietary hospitals? - ANSWER Physicians
What contributed to the growth of hospitals from 1930-1980? - ANSWER Hill-
Burton Act, Health Insurance, Technological advances
What were the main factors in the growth of hospitals in the United States? - ANSWER Hill- Burton Act, private insurance, Medicare and Medicaid
What is credited with having the greatest impact on the expansion of hospital beds in
the U.S.? - ANSWER Hill-Burton
What triggered the downsizing phase in the U.S. hospital industry during the 1980's?
- ANSWER Prospective Payment System
DRG-based reimbursement necessitated hospitals to do what? - ANSWER Discharge patients quicker than before
What are 'days of care'? - ANSWER The total number of patient days
T or F: 19th century almshouses provided mainly rehabilitation services - ANSWER
False
T or F: PPS and managed care had the desired effect of reducing the growth in hospital expenditures. - ANSWER True
T or F: Women are admitted to hospitals more often than men even after adjusting for childbearing - ANSWER True
T or F: Federal hospitals are classified as public hospitals, but they are not community hospitals because they do not serve the general public. - ANSWER True
T or F: The Internal Revenue Code forbids nonprofit hospitals to make a profit. - ANSWER False T or F: Compared to general hospitals, speciality hospitals offer services that are clinically superior. - ANSWER False
T or F: Most mental health care in the United States is delivered in psychiatric hospitals - ANSWER False
T or F: To refuse treatment is one of the basic rights of patients. - ANSWER True
What type of reimbursement method involves a fixed monthly sum per enrollee? - ANSWER Capitation
What is one aspect in which managed care differs from conventional insurance? - ANSWER Responsibility for delivery of services
The CMS uses ________ as an overall measure of a health plan's quality. - ANSWER A star-rating system
What was the main purpose of the Health Maintenance Organization Act of 1973? - ANSWER Provide an alternative to fee for service
Which group has the largest proportion enrolled in managed care plans? - ANSWER Workers in employer- sponsored plans
Which among the following employs tighter utilization controls than the other plans? -
ANSWER HMO's
In the gatekeeping method, who makes referrals to specialists? - ANSWER Primary care physician
In which type of management utilization is a primary care physicians opinion necessary in referring or not referring a patient to a specialist? - ANSWER Gatekeeping
Pre-certification is associated with which type of utilization review? - ANSWER Prospective
Monitoring a patient's progress prognosis for recovery becomes important in which type of utilization review? - ANSWER Concurrent
T or F: MCO's are accredited by the federal government - ANSWER False
T or F: Medicare's managed care option is called Medicare Advantage - ANSWER True
T or F: All Medicaid beneficiaries are required to enroll in managed care plans. - ANSWER False
T or F: Most medicare beneficiaries receive their health care through managed care plans. - ANSWER False
