UIUC CHLH 210 exam 1 2025 update|comprehensive
questions and verified answers (complete solutions)
Exam|GRADE A+!!
What is a community health organization - ans -organizations involved in
providing health information, education, resources, policy, services, and care
2 main types of health models
- ans -1. medical model: focuses on diagnosis and treatment of disease
2. wellness model: focuses on the prevention of the disease
Health trends in the U.S. compared to other countries - ans -America has above
average spending and below average life expectancy. Japan has a high life
expectancy and they also pay less for healthcare.
Not-for-profits - ans -* business oriented
* owned by the community, not the investors
* serve community, not maximize profit
* profits are invested back into the organizations or held as cash reserves
* usually tax exempt from federal and property taxes
* provide public benefit
* services may not be profitable - large number of uninsured/underinsured
patients
* in addition to patient revenue: fund raising, grants, donations
* can be registered as a corporation
*
Not-for-profits exemption - ans -* 501(c)(3) public benefit corporations
* various charitable, non-profit, religious, and educational organizations
* provides donors of 501(c)(3)'s deduction for federal taxes
* gifts must be verified
Not-for-profits exemption criteria - ans -* establish written financial assistance
and emergency medical care policies
* limit amounts charged for emergency or other medically necessary care to
individuals eligible for assistance under the hospital's financial assistance policy
, * make reasonable efforts to determine whether an individual is eligible for
assistance under the hospital's financial assistance policy before engaging in
extraordinary collection actions against the individual
* conduct a community health needs assessment and adopt an implementation
strategy at least once every three years
* not-for-profits tax must be a corporation
* unrelated business income is taxed
* can lose not-for-profit status
* often activities don't break even revenue
* exist primarily to provide programs and services of benefit to others, not
provided by the government
For-profit - ans -* investor owned, profits are main objective
* reinvested or redistributed to investor owners
* while providing quality service, managers are expected to maximize shareholder
wealth
* company and the shareholders pay taxes
* can turn away non-emergent patients
indemnity - ans -* one party is exempted from incurred liabilities by the other
party
* insurer pays for services after they are used either to reimburse patient or pay
the provider, defined as "fee for service"
HMO (Health Maintenance Organizations) - ans -* prepaid health plan
* Capitation: predetermined amount of funds for
* health maintenance act of 1976: strong incentive for growth of HMOs - financial
incentive, employers required to also offer HMO plan as an alternative to
indemnity insurance
Managed Care models - ans -* combine paying for and providing services in one
business
* must see an in-network provider
* dominant form of coverage: 95% of workers covered by an employer plan were
enrolled in managed care, up 27% since 1988
questions and verified answers (complete solutions)
Exam|GRADE A+!!
What is a community health organization - ans -organizations involved in
providing health information, education, resources, policy, services, and care
2 main types of health models
- ans -1. medical model: focuses on diagnosis and treatment of disease
2. wellness model: focuses on the prevention of the disease
Health trends in the U.S. compared to other countries - ans -America has above
average spending and below average life expectancy. Japan has a high life
expectancy and they also pay less for healthcare.
Not-for-profits - ans -* business oriented
* owned by the community, not the investors
* serve community, not maximize profit
* profits are invested back into the organizations or held as cash reserves
* usually tax exempt from federal and property taxes
* provide public benefit
* services may not be profitable - large number of uninsured/underinsured
patients
* in addition to patient revenue: fund raising, grants, donations
* can be registered as a corporation
*
Not-for-profits exemption - ans -* 501(c)(3) public benefit corporations
* various charitable, non-profit, religious, and educational organizations
* provides donors of 501(c)(3)'s deduction for federal taxes
* gifts must be verified
Not-for-profits exemption criteria - ans -* establish written financial assistance
and emergency medical care policies
* limit amounts charged for emergency or other medically necessary care to
individuals eligible for assistance under the hospital's financial assistance policy
, * make reasonable efforts to determine whether an individual is eligible for
assistance under the hospital's financial assistance policy before engaging in
extraordinary collection actions against the individual
* conduct a community health needs assessment and adopt an implementation
strategy at least once every three years
* not-for-profits tax must be a corporation
* unrelated business income is taxed
* can lose not-for-profit status
* often activities don't break even revenue
* exist primarily to provide programs and services of benefit to others, not
provided by the government
For-profit - ans -* investor owned, profits are main objective
* reinvested or redistributed to investor owners
* while providing quality service, managers are expected to maximize shareholder
wealth
* company and the shareholders pay taxes
* can turn away non-emergent patients
indemnity - ans -* one party is exempted from incurred liabilities by the other
party
* insurer pays for services after they are used either to reimburse patient or pay
the provider, defined as "fee for service"
HMO (Health Maintenance Organizations) - ans -* prepaid health plan
* Capitation: predetermined amount of funds for
* health maintenance act of 1976: strong incentive for growth of HMOs - financial
incentive, employers required to also offer HMO plan as an alternative to
indemnity insurance
Managed Care models - ans -* combine paying for and providing services in one
business
* must see an in-network provider
* dominant form of coverage: 95% of workers covered by an employer plan were
enrolled in managed care, up 27% since 1988
