Question 1

What is the role of a managed care organization?

Accepted Answer

A)   Control the cost of health care.
B)   Monitor the work of doctors and hospitals.
C)   Limit visits to specialists.
D)   Require prior authorization for hospitalization.
E)   All of the above.

Question 2

_________________ are managed care prepaid group practices, in which a person pays a monthly premium for comprehensive health care services.

Accepted Answer

A)   Official agencies.
B)   Individual practice associations.
C)   Health maintenance organizations.
D)   Preferred provider organizations.
E)   Allied health enterprises.

Question 3

The medical profession in the United States has had a consistent record of ____________ to social legislation.

Accepted Answer

A)   Compliance.
B)   Resistance.
C)   Deference.
D)   Defiance.
E)   None of the above.

Question 4

_________________ solicit funds from the general public and use them to support medical research and provide services for disease victims.

Accepted Answer

A)   Official agencies.
B)   Voluntary agencies.
C)   Health maintenance organizations.
D)   Preferred provider organizations.
E)   Allied health enterprises.

Question 5

Not having health insurance drastically undermines the ability of people to obtain health care, since they cannot pay for it and may therefore be denied it.

Accepted Answer

A) True 
 B)False

Question 6

A number of states have sued the federal government over the recent health care reforms on the basis that it is unconstitutional and unprecedented to require people to buy any commercial good or service as a condition of lawful residence in the U.S.

Accepted Answer

A) True 
 B)False

Question 7

Despite initial resistance to rationing services by the middle class, the managed care model has continued to control escalating costs for health care.

Accepted Answer

A) True 
 B)False

Question 8

The establishment of the welfare state is the latest phase in the evolution of citizens' rights in the West. Which was the first group of rights granted to citizens in the 18th century?

Accepted Answer

A)   Basic.
B)   Political.
C)   Civil.
D)   Social.
E)   All of the above.

Question 9

What are the primary issues in debates about health care delivery in the U.S.?

Accepted Answer

A)   Rising costs of services
B)   Equity in the provision and distribution of care.
C)   Which country to model reforms on.
D)   Both A and B.
E)   Both B and C.

Question 10

Almost all drugs can reduce health spending by lowering the need for hospital care.

Accepted Answer

A) True 
 B)False

Question 11

One out of every _______ counties in the United States does not have a single doctor.

Accepted Answer

A)   10.
B)   20.
C)   30.
D)   40.
E)   None of the above.

Question 12

The ______________ represents the bill payer and certifies that the care to be rendered is both effective and the least costly alternative.

Accepted Answer

A)   Case manager.
B)   Social worker.
C)   HMO.
D)   Hospital administrator.
E)   All of the above.

Question 13

What does DRG stand for?

Accepted Answer

A)   Diagnostic related groups.
B)   Drug review guide.
C)   DR (doctor)  G (guild) .
D)   Dermatology rheumatology groups.
E)   None of the above.

Question 14

In the public sector, the federal government instituted cost controls for services to _______________ patients by establishing set fees for DRGs.

Accepted Answer

A)   Welfare.
B)   SCHIP.
C)   Medicare.
D)   Medicaid.
E)   None of the above.

Question 15

Which is one reason medical students tend to specialize rather than go into general practice?

Accepted Answer

A)   Specialties usually represent a more manageable body of knowledge.
B)   Specialties may be less demanding of personal time.
C)   Specialties usually have greater prestige and better income.
D)   All of the above.
E)   A and C only.

Question 16

___________ theory takes the position that social inequality leads to clash, which leads to change.

Accepted Answer

A)   Structural functionalism.
B)   Conflict.
C)   Symbolic interaction.
D)   Health lifestyles.
E)   None of the above.

Question 17

_________________ are solo practitioners or small groups of physicians who contract independently with HMOs to provide care to patients enrolled in their plans.

Accepted Answer

A)   Official agencies.
B)   Individual practice associations.
C)   Health maintenance organizations.
D)   Preferred provider organizations.
E)   Allied health enterprises.

Question 18

In the U.S., health care tends to be viewed as:

Accepted Answer

A)   A privilege based on ability to pay for a commodity.
B)   A privilege based on citizenship.
C)   A right granted regardless of living conditions or financial status.
D)   A right based on participation in capitalist markets.
E)   None of the above.

Question 19

HMOs are oriented toward preventive and ambulatory services intended to reduce hospitalization.

Accepted Answer

A) True 
 B)False

Question 20

This method of payment is consistent with the principle of the open market, in which the consumers of health care, like the consumers of other products, are free to choose which health care providers offer the best services at prices they can afford:

Accepted Answer

A)   Fee-for-service.
B)   Capitation.
C)   Managed care.
D)   Credit cards.
E)   All of the above.

Exam 13: Health Care Reform and Health Policy in the United States

In the public sector, the federal government instituted cost controls for services to _______________ patients by establishing set fees for DRGs.

Correct AnswerverifiedShow Answer

What does DRG stand for?

Correct AnswerverifiedShow Answer

What are the primary issues in debates about health care delivery in the U.S.?

Correct AnswerverifiedShow Answer

_________________ are solo practitioners or small groups of physicians who contract independently with HMOs to provide care to patients enrolled in their plans.

Correct AnswerverifiedShow Answer

In the U.S., health care tends to be viewed as:

Correct AnswerverifiedShow Answer

A number of states have sued the federal government over the recent health care reforms on the basis that it is unconstitutional and unprecedented to require people to buy any commercial good or service as a condition of lawful residence in the U.S.

Correct AnswerverifiedShow Answer

Not having health insurance drastically undermines the ability of people to obtain health care, since they cannot pay for it and may therefore be denied it.

Correct AnswerverifiedShow Answer

HMOs are oriented toward preventive and ambulatory services intended to reduce hospitalization.

Correct AnswerverifiedShow Answer

_________________ are managed care prepaid group practices, in which a person pays a monthly premium for comprehensive health care services.

Correct AnswerverifiedShow Answer

The ______________ represents the bill payer and certifies that the care to be rendered is both effective and the least costly alternative.

Correct AnswerverifiedShow Answer

Which is one reason medical students tend to specialize rather than go into general practice?

Correct AnswerverifiedShow Answer

The establishment of the welfare state is the latest phase in the evolution of citizens' rights in the West. Which was the first group of rights granted to citizens in the 18th century?

Correct AnswerverifiedShow Answer

___________ theory takes the position that social inequality leads to clash, which leads to change.

Correct AnswerverifiedShow Answer

What is the role of a managed care organization?

Correct AnswerverifiedShow Answer

Despite initial resistance to rationing services by the middle class, the managed care model has continued to control escalating costs for health care.

Correct AnswerverifiedShow Answer

One out of every _______ counties in the United States does not have a single doctor.

Correct AnswerverifiedShow Answer

Almost all drugs can reduce health spending by lowering the need for hospital care.

Correct AnswerverifiedShow Answer

This method of payment is consistent with the principle of the open market, in which the consumers of health care, like the consumers of other products, are free to choose which health care providers offer the best services at prices they can afford:

Correct AnswerverifiedShow Answer

The medical profession in the United States has had a consistent record of ____________ to social legislation.

Correct AnswerverifiedShow Answer

_________________ solicit funds from the general public and use them to support medical research and provide services for disease victims.

Correct AnswerverifiedShow Answer

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