HSCI710 Quiz Financing Healthcare

Question 1

1 / 1 pts

Which of the following contributed to the development of for-profit insurance companies during and after World War II? Select all that apply.

Unions fought for medical insurance to be included in employee benefit packages

Wartime wage controls limited monetary increases in employee compensation

The Internal Revenue Service allowed employers a tax deduction for the cost of providing employee health insurance

Employees began filing insurance claims in record numbers

Question 2

1 / 1 pts

Which of the following is the basic principle behind health insurance?

Pooled risks

Copayments

Subsidies for low-income patients

Health care for all

Question 3

1 / 1 pts

Which of the following is a key challenge in the drive to define and achieve health care value?

A shortage of quality-measurement frameworks

The accelerating increase in the cost of health care

Increasingly good patient outcomes nationwide

Inability to meaningfully measure patient-centered outcomes

Question 4

1 / 1 pts

The largest share of total U.S. health care expenditures usually pays for which of the following?

Personal health care services provided to individuals

Public health services

Medical research

Administrative costs of running the health care delivery and financing system

Question 5

1 / 1 pts

Which of the following are true of a fee-for-service system? Select all that apply.

Fee-for-service systems compensate providers for each service performed

As of 2016, more than 85% of U.S. physicians reported being reimbursed under the fee-for-service model

Most experts agree that fee-for-service models are a major driver of high health care spending

Many patients prefer fee-for-service arrangements

Question 6

1 / 1 pts

The Snyder Act of 1921 established a program of health services for which of the following?

Military veterans and their families

People with disabilities

Members of federally recognized Indian tribes and their descendants

Undocumented immigrants

Question 7

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Which of the following is the value that third-party payers often argue they bring to the U.S. health care system?

Lower administrative costs

Reduced payments to health care providers

Fewer unnecessary procedures

Innovative quality-measurement frameworks

Question 8

1 / 1 pts

Public insurance programs include which of the following? Select all that apply.

Medicare and Medicaid

CHIP

Programs for veterans and Native Americans

United Healthcare

Question 9

1 / 1 pts

Most Medicare ACOs have one-sided risk, which means which of the following?

If they go over budget, they must repay Medicare a portion of the excess

They must pay their own malpractice insurance premiums

If they exceed their budget, they are not penalized

If they spend less than their budget, they are allowed to keep all the savings

Question 10

1 / 1 pts

When do most hospital patients find out what their care will cost?

When they first become ill

When they check into the hospital

After they have received care

Never

Question 11

1 / 1 pts

Which of the following are reasons the value of health care should be defined differently than the value of other consumer purchases? Select all that apply.

Patients rarely drive treatment decisions

Patients are usually responsible for only a small fraction of the costs of their care

Patients often shop for doctors just as they do for other professionals whose services they need

Patients benefit from the financial protection afforded by health insurance

IncorrectQuestion 12

0 / 1 pts

Almost a third of Medicare spending is devoted to which of the following?

Children living in poverty

Patients in their last two years of life

Research on chronic disease

Elderly patients who have suffered falls

Question 13

1 / 1 pts

Which of the following is true of health care in most other industrialized countries but not in the United States?

Health care is treated as a commodity

All citizens are entitled to health care substantially paid for by the government

Only those who can afford health care receive it

Health outcomes are generally poor

Question 14

1 / 1 pts

Which of the following is the list of all prescription drugs a pharmacy benefit manager will dispense?

Formulary

Value-based contract

Benchmark

Index of lower-tier drugs

Question 15

1 / 1 pts

Which of the following is a group of health care providers, such as physicians and hospitals, collaborating to ensure the highest quality treatment possible for a segment of the population?

An accountable care organization (ACO)

A patient-centered medical home (PCMH)

A fee-for-service (FFS) organization

A health maintenance organization (HMO)

Question 16

1 / 1 pts

The Institute of Medicine identifies which of the following as a primary source of wasteful health care spending?

Misdiagnoses

Mandatory vaccinations

Unneeded procedures

Medical errors

Question 17

1 / 1 pts

Providers in the Merit-based Incentive Payment System (MIPS) can earn payment adjustments based on their performance in four categories. Which of the following is not one of the categories?

Quality of care

Cost of care

Clinical practice improvement

Number of patients seen

Question 18

1 / 1 pts

The only state in the United States that has an all-hospital rate-setting system is

Hawaii

New York

Maryland

Vermont

Question 19

1 / 1 pts

Which of the following explains why a number of providers have stopped serving Medicare or Medicaid patients in recent years?

Too many patients are using these programs

Payment rates have not kept up with health care costs

Private insurers negotiate provider payments for each type of service

The demand for physician services has not increased since the 2008-2010 recession

Question 20

1 / 1 pts

Which of the following are most likely to be among the families whose annual health care spending exceeds the average? Select all that apply.

Families without insurance

Families who are underinsured

Families that include someone with a chronic disease

Families with minimal medical needs

Question 21

1 / 1 pts

In 2016, the typical U.S. family’s total health care spending, including insurance premiums and direct medical costs, ranked as which budget item?

Fourth largest

Smallest

Second largest

Largest

Question 22

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Which of the following requires employers to extend health insurance benefits to former employees for up to 18 months?

The Affordable Care Act (ACA)

The Consolidated Omnibus Budget Reconciliation Act (COBRA)

The Snyder Act

The Social Security Act

Question 23

1 / 1 pts

Per capita spending on health care in the United States, adjusted for inflation, grew at what rate between 1960 and 2016?

125%

250%

575%

775%

Question 24

1 / 1 pts

Which of the following are factors that motivate medical practitioners to provide more, and sometimes too much, care? Select all that apply.

Providers’ anxiety over the uncertainty of outcomes

Difficulty of taking into account patients’ preferences and values in treatment decisions

Transparent information about the cost of care

Patients’ widespread belief that more health care must be better

Question 25

1 / 1 pts

The federal government pays for more than half of the Medicaid program. The balance is paid by which of the following?

Low-income Americans

Department of Veterans Affairs

State governments

Centers for Disease Control and Prevention