AHM 250 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTION!!
A health plan can best be defined as an organization that Answer - Integrates
the delivery and financing of healthcare and seeks to manage healthcare cost,
access, and quality
The earliest versions of heath plans appeared in Answer - 1910
What is not an early form of health plan Answer - Preferred provider
organization
Which is a provision of the HMO act of 1973 Answer - Federally qualified
HMOs were exempted from some state laws
For an HMO which was not an advantage of federal qualification Answer - The
HMO did not have to meet certain requirements that applied to other health
plans
The HMO Act of 1973 Answer - Played a major role in the early growth of
HMOs
In the 1990s, HMO Answer - Were popular because they held down cost but
people objected to the lack of provider choices
, Janine can go to any doctor she wants, but if she goes to one not in her plans
network, she has to pay a larger share of the cost, Janine is coveted by Answer
- A preferred provider organization
Jacob must pay $2,000 in healthcare expenses each year before he receives
benefits from his health plan, but he can use money from a tax-advantage
saving account, Jacob has Answer - A consumer directed health plan
What are the roles of the state and federal government in regulating health
plans Answer - The states regulate health insurance but the federal
government also passes laws affecting it
Have government health coverage programs been a significant factor in the
evolution of health plans Answer - Yes, because these programs have
increasingly relied on health plans to provide coverage
Which is not a cause of higher healthcare spending Answer - A younger
population because of immigration
Under the fee for service approach healthcare providers have a financial
incentive to provide Answer - More services
Which is not typical of managed care Answer - Fee for service compensation
Which will probably have the lost premium Answer - A consumer directed
health plan
In relation to health plans, over the years the definition of quality Answer - Has
become broader
COMPLETE SOLUTION!!
A health plan can best be defined as an organization that Answer - Integrates
the delivery and financing of healthcare and seeks to manage healthcare cost,
access, and quality
The earliest versions of heath plans appeared in Answer - 1910
What is not an early form of health plan Answer - Preferred provider
organization
Which is a provision of the HMO act of 1973 Answer - Federally qualified
HMOs were exempted from some state laws
For an HMO which was not an advantage of federal qualification Answer - The
HMO did not have to meet certain requirements that applied to other health
plans
The HMO Act of 1973 Answer - Played a major role in the early growth of
HMOs
In the 1990s, HMO Answer - Were popular because they held down cost but
people objected to the lack of provider choices
, Janine can go to any doctor she wants, but if she goes to one not in her plans
network, she has to pay a larger share of the cost, Janine is coveted by Answer
- A preferred provider organization
Jacob must pay $2,000 in healthcare expenses each year before he receives
benefits from his health plan, but he can use money from a tax-advantage
saving account, Jacob has Answer - A consumer directed health plan
What are the roles of the state and federal government in regulating health
plans Answer - The states regulate health insurance but the federal
government also passes laws affecting it
Have government health coverage programs been a significant factor in the
evolution of health plans Answer - Yes, because these programs have
increasingly relied on health plans to provide coverage
Which is not a cause of higher healthcare spending Answer - A younger
population because of immigration
Under the fee for service approach healthcare providers have a financial
incentive to provide Answer - More services
Which is not typical of managed care Answer - Fee for service compensation
Which will probably have the lost premium Answer - A consumer directed
health plan
In relation to health plans, over the years the definition of quality Answer - Has
become broader
