This Tutorial contains 3 Sets of Midterm 1. � Question : � (TCO 1) Which statement most accurately describes the relationship between health insurance and health? 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? 2. � Question : � (TCO 2) Which of the are stakeholders in health care policy? 3. � Question : � (TCO 3) Proportional payments are ________________. 4. � Question : � (TCO 4) Which of the following is an effective cost control mechanism? 5. � Question : � (TCO 1) How is Health Policy Formed? 6. � Question : � (TCO 3) Which of the following are modes of paying for health care? 1. � Question : � (TCO 2) What were the most common medical care structures of the first half of the twentieth century? 2. � Question : � (TCO 4) List the methods of physician payment. 3. � Question : � (TCO 2) What are the three models of organizing care? Provide a brief description of the care provided at each level. 4. � Question : � (TCO 4) What is the concept of patient cost sharing? Is it painless form of cost control? For whom? 5. � 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?
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