MED 110 - CHAPTER 1: THE HEALTH
CARE SYSTEM QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
Ambulatory Care - ANSWER Medical care that is provided on an outpatient basis
Capitation - ANSWER A set payment provided by managed care insurance per patient per month
regardless of the amount of service the patient receives
A managed care insurance plan may implement capitation, a type of payment that limits payments to
physicians to a certain fee per prescriber. This reduces incentives to provide extra services because there
is a limit to the payout providers get.
Curative - ANSWER Treatment that cures a disease
Empirical - ANSWER Learned from observation or experiment
Fee-for-service - ANSWER A means of payment for health care in which each service provided is
reimbursed in full or in part
Formulary - ANSWER A list of prescription drugs covered or preferred by a managed care insurance
company
Managed care plans utilize formularies, which are lists of approved drugs for coverage. This prevents
prescribers from prescribing expensive drugs, unless an exception is provided (such as an allergy to a
medication or that the formulary drugs were ineffective).
Health Insurance - ANSWER Purchase of protection for covered services related to health care
Holistic - ANSWER Considering the whole; in medicine, considering the entire person when providing
health care
, Managed Care - ANSWER A system that manages the delivery of health care with the intention of
controlling costs
Managed care is a system that manages the delivery of healthcare with the intention of controlling costs.
It involves the health maintenance organizations and utilization review to ensure consistent, routine care
to prevent later, more expensive care.
Palliative Treatment - ANSWER Therapy that reduces the effects of disease or condition but does not
remove the disease itself
Residency - ANSWER A program to provide training in a medical specialty to a physician who has finished
medical school
Symptomatic Treatment - ANSWER Therapy for symptoms of a disease or a condition
Utilization Review - ANSWER Assessing medical services to determine whether they are appropriate,
necessary, and of high quality.
-al - ANSWER Pertaining to ;; ex: Empirical
ambul/o - ANSWER To walk ;; ex: Ambulatory
empiric/o - ANSWER Experienced ;; ex: Empiricus
hol/o - ANSWER Whole ;; ex: Holistic
-ic - ANSWER Pertaining to ;; ex: Holistic
-ory - ANSWER Pertaining to ;; ex: Ambulatory
Patient centered medical home - ANSWER a model of primary care that emphasizes care based on a
personal relationship among a patient, physician, and the patient's health care team
CARE SYSTEM QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
Ambulatory Care - ANSWER Medical care that is provided on an outpatient basis
Capitation - ANSWER A set payment provided by managed care insurance per patient per month
regardless of the amount of service the patient receives
A managed care insurance plan may implement capitation, a type of payment that limits payments to
physicians to a certain fee per prescriber. This reduces incentives to provide extra services because there
is a limit to the payout providers get.
Curative - ANSWER Treatment that cures a disease
Empirical - ANSWER Learned from observation or experiment
Fee-for-service - ANSWER A means of payment for health care in which each service provided is
reimbursed in full or in part
Formulary - ANSWER A list of prescription drugs covered or preferred by a managed care insurance
company
Managed care plans utilize formularies, which are lists of approved drugs for coverage. This prevents
prescribers from prescribing expensive drugs, unless an exception is provided (such as an allergy to a
medication or that the formulary drugs were ineffective).
Health Insurance - ANSWER Purchase of protection for covered services related to health care
Holistic - ANSWER Considering the whole; in medicine, considering the entire person when providing
health care
, Managed Care - ANSWER A system that manages the delivery of health care with the intention of
controlling costs
Managed care is a system that manages the delivery of healthcare with the intention of controlling costs.
It involves the health maintenance organizations and utilization review to ensure consistent, routine care
to prevent later, more expensive care.
Palliative Treatment - ANSWER Therapy that reduces the effects of disease or condition but does not
remove the disease itself
Residency - ANSWER A program to provide training in a medical specialty to a physician who has finished
medical school
Symptomatic Treatment - ANSWER Therapy for symptoms of a disease or a condition
Utilization Review - ANSWER Assessing medical services to determine whether they are appropriate,
necessary, and of high quality.
-al - ANSWER Pertaining to ;; ex: Empirical
ambul/o - ANSWER To walk ;; ex: Ambulatory
empiric/o - ANSWER Experienced ;; ex: Empiricus
hol/o - ANSWER Whole ;; ex: Holistic
-ic - ANSWER Pertaining to ;; ex: Holistic
-ory - ANSWER Pertaining to ;; ex: Ambulatory
Patient centered medical home - ANSWER a model of primary care that emphasizes care based on a
personal relationship among a patient, physician, and the patient's health care team
