Healthcare Systems- Final Assessment

Which of the following is true about a PPO?

• The insured person must select a primary care physician.

• The PPO selects providers that an insured person must choose from.

• The insured person does not need to choose a primary care physician to coordinate care.

What is a health insurance premium?

• The amount paid by the patient to an insurance agency for an insurance policy

• The dollar value of the healthcare services a patient is allowed per year

• The amount the patient must pay for each office visit

• The amount the patient must pay before insurance begins to pay a portion

Medicaid is run by the _____ government.

• federal

• state

• local

Why do HMOs encourage healthy lifestyle practices?

• The HMO is concerned about your quality of life.

• Your doctor reports unhealthy practices to your HMO.

• It is cheaper to prevent illness than to treat an illness.

• They know what is best for your health.

Mark's insurance pays 100% of physician visits after a deductible of $250. Mark has already paid $100 of the deductible. The next time Mark visits his physician, the physician charges $125. How much is Mark responsible for paying?

• $0

• $125

• $100

• $250

Treatment in outpatient settings is an example of which of the following?

• A desire from patients to return home as soon as possible

• The shortage of some types of healthcare workers

• The increasing level of care today's patients receive

• Cost containment

Why is geriatric care in high demand?

• People are living longer.

• There is high employee turnover.

• Older people can afford more expensive healthcare.

• Insurance is paying for more services for elderly patients.

Which of the following is true about organizational structures in healthcare facilities?

• Employees must respect the roles of other team members.

• Facilities develop a line of authority to show the pay scale of team members.

• Team members do not expect new employees to follow the line of authority.

• Employees can talk to only those below them in the line of authority.

What is the main type of healthcare system in the United States?

• A public system funded by tax dollars

• A public system funded by insurance and out-of-pocket payments

• A private system funded by tax dollars

• A private system funded by insurance and out-of-pocket payments

What is the reason for using systems theory to study a healthcare facility?

• It helps the facility to focus on its mission.

• It helps the facility to ignore minor flaws in its operation.

• It allows patients to compare facilities.

• It helps the facility to define its mission.