US Health Care Systems Exam
Questions With All Correct Detailed
Answers 2025 New Update
The development that contributed most significantly to the decline of the social mission
of voluntary hospitals was the - Answers -✔✔ Enactment of private and public insurance
reimbursement for hospital care
The Medicaid program has a history of very low reimbursement as compared with
Medicare reimbursement; critics site low Medicaid reimbursement as a major reason
that primary care doctors have rejected serving the Medicaid population. An ACA
provision addresses this issue by: - Answers -✔✔ Reimbursing states for primary care
physician fees for Medicaid patients at no less than100% of Medicare payment rates
Integrated health systems or ____________ have been a key provision in the ACA;
these systems better coordinate care and improve quality - Answers -✔✔ Accountable
Care Organizations
U.S. annual health care expenditures far outstrip those of 7 other developed nations. In
relationship with expenditures, U.S. health population status ranking on critical
indicators in comparison with those other developed nations is: - Answers -✔✔ Dismally
lower
The U.S. healthcare delivery system has numerous stakeholders. In terms of financial
power, control of delivery system parameters for the majority of Americans, and
influence on consumers and providers of health care, which of the following pairs of
stakeholders is the most influential: - Answers -✔✔ Government and private health
insurers
Of the levels of prevention associated with the natural history of disease, primary
prevention refers to: - Answers -✔✔ health education and specific protection
Americans spend $9 billion + each year on alternative and complementary therapies.
This trend has caused: - Answers -✔✔ many private insurers and Medicare and
Medicaid to provide benefit coverage for certain treatments
In the past, patient behaviors within the health care delivery system were formed from
the authoritarian positions of better-educated providers who expected patients to be
compliant and grateful. Today, health care providers and consumers: - Answers -✔✔
encourage more proactive roles for patients' participation in health care decisions with
"shared decision-making"
,Potential conflicts of interest occur when physicians own or invest in businesses (e.g.
diagnostic, medical supply companies) to which they can refer patients to generate
profits. In response to these physician conflict of interest issues: - Answers -✔✔ The
ACA includes "Sunshine provisions" require reporting of all financial transactions and
transfers of value between pharmaceutical/biologic product manufacturers and
physicians, hospitals and other entities reimbursed by the federal government
In the natural history of a disease, the pre-pathogenesis period refers to: - Answers -✔✔
Behavioral, genetic, environmental and other factors that may contribute to an
individual's likelihood of contracting a disease
Long term care needs of older, chronically ill Americans pose a particular delivery
system challenge because: - Answers -✔✔ Neither Medicare nor private insurance
support ongoing, non-acute services
As early as the 19th century some Americans carried "health insurance" through
employers, fraternal orders, guilds, trade associations, unions or commercial insurance
companies. However unlike health insurance of today, these insurance policies only
provided for: - Answers -✔✔ Fixed payments to compensate for lost wages due to
injury, sickness or disability
The Oregon Death with Dignity Act was a response to which of the following? - Answers
-✔✔ public and professional concerns about painful and demeaning terminal medical
care
In its early origins in colonial America, the patient/physician relationship can be best
characterized as: - Answers -✔✔ Personal, confidential and simple with payments
based on patients' financial capacity
Blue Cross Hospital Insurance, the predominant form of health insurance for decades,
was modeled after: - Answers -✔✔ Baylor University Hospital's school teachers plan
A central provision of the ACA to assure health care coverage for most Americans is: -
Answers -✔✔ the individual mandate
The major health care advances of the second half of the 20th century were in the area
of: - Answers -✔✔ vaccines and antibiotics to prevent and control infectious diseases,
tranquilizers, the birth control pill
The American Medical Association's initial reaction to Blue Cross hospital insurance
plans suggested that the plans: - Answers -✔✔ Were unsound and unethical
Two primary issues that concerned many regarding the ACA: - Answers -✔✔ individual
mandate & Medicaid expansion
, Policies that call on the government to prescribe and control behavior of a group of
individuals in which sanctions are imposed for noncompliance: - Answers -✔✔
Regulatory
A health information exchange architecture that is designed for all institutions to
periodically send copies of their clinical data to one central repository. - Answers -✔✔
Monolithic Model
This level of prevention consists of rehabilitation and maximizing remaining functional
capacity when disease has occurred and left residual damage; the most costly, labor-
intensive aspect of medical care: - Answers -✔✔ Tertiary prevention
This important Act in 1973 attempted to hold down costs by moving from fee-for-service
to promoting health and preventing illness: - Answers -✔✔ HMO Act of 1973
This key Act provided financial incentive programs for physicians to buy, install and
adopt EHR systems. - Answers -✔✔ HITECH Act
To receive incentive payments for demonstrating "meaningful use," providers must meet
criteria in three stages of EHR implementation. In what stage must providers meet
objectives for "capturing patient data and sharing data in a standardized format with
patients and other health care professionals?" - Answers -✔✔ Stage 1
A physician who sends a prescription electronically to the pharmacy is an example of
which type of HIT? - Answers -✔✔ CPOE
The US spends approximately what percentage of its GDP on health care? - Answers -
✔✔ 17%
The US health care system is unlike any in the world because: - Answers -✔✔ Both A (it
is fragmented) & B (it is $2.7 trillion industry)
Which of the following presents a key challenge or barrier to HIT implementation? -
Answers -✔✔ All of the above
The explosion of scientific knowledge and technological advancement has led to a
shortage of: - Answers -✔✔ primary care providers
As part of the ACA, health insurance companies will be held accountable by ensuring
that premium dollars are spent primarily on health care, by generally requiring that at
least _____% of all premium dollars collected by insurance companies for large
employer plans are spent on health care services and quality improvement. - Answers -
✔✔ 85%
Questions With All Correct Detailed
Answers 2025 New Update
The development that contributed most significantly to the decline of the social mission
of voluntary hospitals was the - Answers -✔✔ Enactment of private and public insurance
reimbursement for hospital care
The Medicaid program has a history of very low reimbursement as compared with
Medicare reimbursement; critics site low Medicaid reimbursement as a major reason
that primary care doctors have rejected serving the Medicaid population. An ACA
provision addresses this issue by: - Answers -✔✔ Reimbursing states for primary care
physician fees for Medicaid patients at no less than100% of Medicare payment rates
Integrated health systems or ____________ have been a key provision in the ACA;
these systems better coordinate care and improve quality - Answers -✔✔ Accountable
Care Organizations
U.S. annual health care expenditures far outstrip those of 7 other developed nations. In
relationship with expenditures, U.S. health population status ranking on critical
indicators in comparison with those other developed nations is: - Answers -✔✔ Dismally
lower
The U.S. healthcare delivery system has numerous stakeholders. In terms of financial
power, control of delivery system parameters for the majority of Americans, and
influence on consumers and providers of health care, which of the following pairs of
stakeholders is the most influential: - Answers -✔✔ Government and private health
insurers
Of the levels of prevention associated with the natural history of disease, primary
prevention refers to: - Answers -✔✔ health education and specific protection
Americans spend $9 billion + each year on alternative and complementary therapies.
This trend has caused: - Answers -✔✔ many private insurers and Medicare and
Medicaid to provide benefit coverage for certain treatments
In the past, patient behaviors within the health care delivery system were formed from
the authoritarian positions of better-educated providers who expected patients to be
compliant and grateful. Today, health care providers and consumers: - Answers -✔✔
encourage more proactive roles for patients' participation in health care decisions with
"shared decision-making"
,Potential conflicts of interest occur when physicians own or invest in businesses (e.g.
diagnostic, medical supply companies) to which they can refer patients to generate
profits. In response to these physician conflict of interest issues: - Answers -✔✔ The
ACA includes "Sunshine provisions" require reporting of all financial transactions and
transfers of value between pharmaceutical/biologic product manufacturers and
physicians, hospitals and other entities reimbursed by the federal government
In the natural history of a disease, the pre-pathogenesis period refers to: - Answers -✔✔
Behavioral, genetic, environmental and other factors that may contribute to an
individual's likelihood of contracting a disease
Long term care needs of older, chronically ill Americans pose a particular delivery
system challenge because: - Answers -✔✔ Neither Medicare nor private insurance
support ongoing, non-acute services
As early as the 19th century some Americans carried "health insurance" through
employers, fraternal orders, guilds, trade associations, unions or commercial insurance
companies. However unlike health insurance of today, these insurance policies only
provided for: - Answers -✔✔ Fixed payments to compensate for lost wages due to
injury, sickness or disability
The Oregon Death with Dignity Act was a response to which of the following? - Answers
-✔✔ public and professional concerns about painful and demeaning terminal medical
care
In its early origins in colonial America, the patient/physician relationship can be best
characterized as: - Answers -✔✔ Personal, confidential and simple with payments
based on patients' financial capacity
Blue Cross Hospital Insurance, the predominant form of health insurance for decades,
was modeled after: - Answers -✔✔ Baylor University Hospital's school teachers plan
A central provision of the ACA to assure health care coverage for most Americans is: -
Answers -✔✔ the individual mandate
The major health care advances of the second half of the 20th century were in the area
of: - Answers -✔✔ vaccines and antibiotics to prevent and control infectious diseases,
tranquilizers, the birth control pill
The American Medical Association's initial reaction to Blue Cross hospital insurance
plans suggested that the plans: - Answers -✔✔ Were unsound and unethical
Two primary issues that concerned many regarding the ACA: - Answers -✔✔ individual
mandate & Medicaid expansion
, Policies that call on the government to prescribe and control behavior of a group of
individuals in which sanctions are imposed for noncompliance: - Answers -✔✔
Regulatory
A health information exchange architecture that is designed for all institutions to
periodically send copies of their clinical data to one central repository. - Answers -✔✔
Monolithic Model
This level of prevention consists of rehabilitation and maximizing remaining functional
capacity when disease has occurred and left residual damage; the most costly, labor-
intensive aspect of medical care: - Answers -✔✔ Tertiary prevention
This important Act in 1973 attempted to hold down costs by moving from fee-for-service
to promoting health and preventing illness: - Answers -✔✔ HMO Act of 1973
This key Act provided financial incentive programs for physicians to buy, install and
adopt EHR systems. - Answers -✔✔ HITECH Act
To receive incentive payments for demonstrating "meaningful use," providers must meet
criteria in three stages of EHR implementation. In what stage must providers meet
objectives for "capturing patient data and sharing data in a standardized format with
patients and other health care professionals?" - Answers -✔✔ Stage 1
A physician who sends a prescription electronically to the pharmacy is an example of
which type of HIT? - Answers -✔✔ CPOE
The US spends approximately what percentage of its GDP on health care? - Answers -
✔✔ 17%
The US health care system is unlike any in the world because: - Answers -✔✔ Both A (it
is fragmented) & B (it is $2.7 trillion industry)
Which of the following presents a key challenge or barrier to HIT implementation? -
Answers -✔✔ All of the above
The explosion of scientific knowledge and technological advancement has led to a
shortage of: - Answers -✔✔ primary care providers
As part of the ACA, health insurance companies will be held accountable by ensuring
that premium dollars are spent primarily on health care, by generally requiring that at
least _____% of all premium dollars collected by insurance companies for large
employer plans are spent on health care services and quality improvement. - Answers -
✔✔ 85%
