HSM 410 Week 4 Midterm (3 Sets)

1. Question : (TCO 1) Which statement most accurately describes the relationship between health insurance and health?

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Question 2. Question : (TCO 2) What do the health systems of Japan, Germany, Canada, and the United Kingdom have in common?

        Student Answer:                      All provide health insurance though an employment-based, private insurance system.

                                 All provide government-financed healthcare systems.

                                 All provide universal healthcare coverage to their citizens. (Chapter 14, pg. 163.)

                                 All provide sickness finds for their citizens.

Question 3. Question : (TCO 3) Progressive payments are _.

        Student Answer:                      the ratio of payment to income that is the same for all classes.



                                payments that take a falling percentage of income as income increases.

                                payments that take a rising percentage of income as income increases. (Chapter 2, pg. 14.)

                                a set fee regardless of income.

Question 4. Question : (TCO 4) Fee-for-service reimbursement is different than the other units of payment for healthcare. This statement is:

        Student Answer:                      true because all other forms of reimbursement group together several services into one payment. (Chapter 4, pg. 31.)

                                true because it is the oldest and simplest form of reimbursement for care provided.

                                false because the Medicare/Medicaid systems reimburse healthcare providers in the same method as fee for service.

                                false because the per diem payment to hospitals method pays for services on an "as-needed" basis.

Question 5. Question : (TCO 1) How is health policy formed?

        Student Answer:                      Through discussion with patients



                                 Through the judicial system



                                 Through the legislative process



                                 Both B and C (Week 1 Lecture)

Question 6. Question : (TCO 3) In the 1990s, the push for cost containment changed how physicians and hospitals are paid. The changes:

        Student Answer:                      replaced fee-for-service payments with prospective payment methods.



                                bundled services into one payment to shift risk away from payers.



                                had payment be negotiated between providers and payers.



                                 All of the above (Chapter 4, pg. 40.)

1. Question : (TCO 2) For the last 25 years, what has been the fundamental conflict between purchasers and the healthcare industry?

Question 2. Question : (TCO 4) List the methods of hospital payment.

Question 3. Question : (TCO 2) Why is the U.S. considered a dispersed model of healthcare?

Question 4. Question : (TCO 4) What is the concept of patient cost sharing? Is it a painless form of cost control? For whom?

Question 5. Question : (TCO 3) What is the relationship between costs and health outcomes? What can be done to improve outcomes without raising costs?

Set 2

        (TCO 1) Which statement most accurately describes the relationship between health insurance and health?

1. Question : (TCO 2) Which of the are stakeholders in health care policy?
2. Question : (TCO 3) Proportional payments are ____.
3. Question : (TCO 4) Which of the following is an effective cost control mechanism?
4. Question : (TCO 1) How is Health Policy Formed?
5. Question : (TCO 3) Which of the following are modes of paying for health care?
6. Question : (TCO 2) What were the most common medical care structures of the first half of the twentieth century?
7. Question : (TCO 4) List the methods of physician payment.
8. Question : (TCO 2) What are the three models of organizing care? Provide a brief description of the care provided at each level.
9. Question : (TCO 4) What is the concept of patient cost sharing? Is it painless form of cost control? For whom?
10. Question : (TCO 3) Describe why private health insurance coverage has decreased over the past decades, creating the uninsured/under insured crisis? Who are the uninsured?

Set 3

Mid Term Exams

1. Question : (TCO 1) Which statement most accurately describes the relationship between health insurance and health?

Question 2. Question : (TCO 2) Which of the following are stakeholders in healthcare policy?

Question 3. Question : (TCO 3) Proportional payments are ____.

Question 4. Question : (TCO 4) Which of the following would be considered a painless cost control?

Question 5. Question : (TCO 1) What is a category of underinsurance?

Question 6. Question : (TCO 3) Which of the following are modes of paying for healthcare?

Part 2 Essays

1. Question : (TCO 2) What were the most common medical care structures of the first half of the 20th century?

Question 2. Question : (TCO 4) List the methods of physician payment.

Question 3. Question : (TCO 2) Does an HMO promote the regionalized or dispersed model of care? How?

Question 4. Question : (TCO 4) What is the concept of patient cost sharing? Is it a painless form of cost control? For whom?

Question 5. Question : (TCO 3) Describe why private health insurance coverage has decreased over the past decades, creating the uninsured/underinsured crisis? Who are the uninsured?