Delivering Health care in America
Exam 1 questions well answered
National Health Insurance (NHI) - correct answer ✔✔ a tax supported national health care
program in which services are financed by the government but are rendered by private
providers. (Canada is and example of a country that has NHI).
to enable all citizens to receive healthcare services whenever needed -universal access
to deliver services that are cost effective and meet certain pre-established standards of quality -
correct answer ✔✔ what are the primary objectives of a healthcare delivery system?
THE QUAD-FUNCTION MODEL - correct answer ✔✔ 4 functional components of healthcare
delivery
Financing - correct answer ✔✔ to purchase insurance, or to pay for healthcare services
consumed
insurance - correct answer ✔✔ to protect against catastrophic risk
delivery - correct answer ✔✔ to provide healthcare services
payment - correct answer ✔✔ to reimburse providers for services delivered
financing, insurance, delivery, payment - correct answer ✔✔ what are the 4 Functional
components of THE QUAD-FUNCTION MODEL
premium cost sharing - correct answer ✔✔ employees pay a portion of insurance cost
, private insurance - correct answer ✔✔ mostly employer purchased (such as through an MCO)
or privately purchased
Public Insurance - correct answer ✔✔ government run insurance programs
Medicare - correct answer ✔✔ insurance for elderly and certain disabled individuals
Medicaid - correct answer ✔✔ Insurance for the Indigent
CHIP - correct answer ✔✔ insurance program for Children from low income families
delivery - correct answer ✔✔ refers to the provision of health care services by various
providers
provider - correct answer ✔✔ refers to any entity that delivers health care services and either
independently bills for those services or is supported through tax revenues
continuum of care - correct answer ✔✔ what is provided by Managed Care Organizations
(MCOs) and integrated networks that cover many service components.
payer - correct answer ✔✔ the party who actually makes payment for services under the
insurance coverage policy.
insurers - correct answer ✔✔ an insurance agency or managed care organization that offers
insurance
Exam 1 questions well answered
National Health Insurance (NHI) - correct answer ✔✔ a tax supported national health care
program in which services are financed by the government but are rendered by private
providers. (Canada is and example of a country that has NHI).
to enable all citizens to receive healthcare services whenever needed -universal access
to deliver services that are cost effective and meet certain pre-established standards of quality -
correct answer ✔✔ what are the primary objectives of a healthcare delivery system?
THE QUAD-FUNCTION MODEL - correct answer ✔✔ 4 functional components of healthcare
delivery
Financing - correct answer ✔✔ to purchase insurance, or to pay for healthcare services
consumed
insurance - correct answer ✔✔ to protect against catastrophic risk
delivery - correct answer ✔✔ to provide healthcare services
payment - correct answer ✔✔ to reimburse providers for services delivered
financing, insurance, delivery, payment - correct answer ✔✔ what are the 4 Functional
components of THE QUAD-FUNCTION MODEL
premium cost sharing - correct answer ✔✔ employees pay a portion of insurance cost
, private insurance - correct answer ✔✔ mostly employer purchased (such as through an MCO)
or privately purchased
Public Insurance - correct answer ✔✔ government run insurance programs
Medicare - correct answer ✔✔ insurance for elderly and certain disabled individuals
Medicaid - correct answer ✔✔ Insurance for the Indigent
CHIP - correct answer ✔✔ insurance program for Children from low income families
delivery - correct answer ✔✔ refers to the provision of health care services by various
providers
provider - correct answer ✔✔ refers to any entity that delivers health care services and either
independently bills for those services or is supported through tax revenues
continuum of care - correct answer ✔✔ what is provided by Managed Care Organizations
(MCOs) and integrated networks that cover many service components.
payer - correct answer ✔✔ the party who actually makes payment for services under the
insurance coverage policy.
insurers - correct answer ✔✔ an insurance agency or managed care organization that offers
insurance
