Complete Solutions.
System correct answers An entire healthcare body is made up of these: inter-relations, culture,
people (providers, patients, and payers), and parts
Quality correct answers one of the three aspects of healthcare that must be balanced to ensure an
efficient health system; focuses on patient outcomes, patient satisfaction, and patient safety
Access correct answers one of the three aspects of healthcare that must be balanced to ensure an
efficient health system; focuses on patient insurance status, geographical proximity to needed
services, physician to patient ratios
Cost correct answers one of the three aspects of healthcare that must be balanced to ensure an
efficient health system; focuses on healthcare spending as a % of GDP and spending per
procedure
Universal Coverage correct answers Health insurance coverage is accessible to all citizens
social solidarity correct answers the federal government has the responsibility to ensure all
citizens have ACCESS to healthcare
subsidiary correct answers organizing principle that matters should be handled by the
lowest/least centralized component of government
general reciprocity correct answers the principle belief of giving without any expectation of an
immediate benefit or return
centralized correct answers operated at a federal government level
decentralized correct answers operated at a regional/state government level
public health services/insurance correct answers run by the government
private health services/insurance correct answers run by an independent company
copayment correct answers set fee ($ amount) paid at the time of your medical visit for each type
of service provided
coinsurance correct answers set percentage paid for each type of medical service provided
deductible correct answers Amount you must pay before you begin receiving any benefits from
your health insurance company
sickness funds correct answers german health insurance are also known as these
, safety net correct answers policies to take care of costs for those who cannot afford healthcare or
other related items (transportation, adequate housing, pregnant, university students, low income,
ill, etc)
cost-sharing correct answers healthcare policies in which the patient and the insurance provider
each pay a portion towards medical costs, includes deductibles, coinsurance, and copayments
subsidy correct answers financial assistance from the government that doesn't need to be paid
back, not a loan
health financing correct answers collecting revenue, pooling financial risk, and allocating
revenue in many different forms, such as fee-for-service, pay-for-performance, per diem,
capitation, or bundled payments
health spending as a percentage of GDP correct answers 17.7% in the United States, highest
among all high income countries but poor quality to show for its high spending of this
components of a healthcare system correct answers parts (government, hospitals, insurance
companies, medical legal domain, research domain), people (providers, patients, payers), inter-
realtions, and culture
US ranking (WHO) correct answers 37th/191 countries
US ranking (Commonwealth Fund) correct answers 11th/11 countries
US ranking (Bloomburg Business Report) correct answers 54th
3 goals of a healthcare system correct answers low cost, high quality, easily accessible
how do you measure healthcare goals? correct answers by using measurable data regarding
healthcare quality, access, and cost and comparing them to other countries
how does the US perform (quality, access, cost) correct answers high cost, low access, high/low
cost (depending on what you can afford)
what is the US life expectancy? correct answers 79 years old
what are the four parts of medicare? correct answers Part A- Inpatient Services
Part B- Physician Services
Part C- Medicare Advantage Plans
Part D- Prescription Drugs
who does medicare cover? correct answers Elderly, Disabled, Patients with End-Stage Renal
Disease
when was medicare established? correct answers July 1965