Unit 4 In-Class Review

An MRI machine is an example of:

• Health information technology

• Medical billing system

• Medical technology

• Electronic prescribing

Which of the following is an example of health information technology?

• Robotic surgical system

• Artificial heart valve

• Electronic Health Records (EHR) system

• Dialysis machine

Which of the following innovations belongs to both medical technology and health information technology?

• Insulin pump

• Virtual health consultation platform with remote monitoring

• Surgical scalpel

• Heart-lung machine

Which of the following best describes a major challenge in the U.S. healthcare system’s financial structure?

• Too few patients have access to healthcare

• Most healthcare is government-funded

• Rising costs outpace inflation and wages

• Providers are paid hourly, regardless of services

Which of the following is a direct out-of-pocket healthcare cost for patients?

• Premiums

• Federal subsidies

• Provider reimbursements

• Insurance risk pools

Which of the following is true about Medicaid?

• It is funded and managed solely by the federal government.

• All states must offer identical Medicaid benefits.

• Eligibility is income-based and varies by state.

• It is only available to people over 65.

What best describes the traditional fee-for-service reimbursement model?

• Providers are paid a set amount per patient per year

• Providers are paid based on patient outcomes

• Providers are paid for each service or procedure they perform

• Providers are not reimbursed directly

Capitation is a reimbursement method in which:

• Providers pay to be part of the network

• Providers receive a flat fee per patient regardless of services

• Insurance companies set all prices

• Only hospitals receive payment

Which type of insurance plan typically offers the greatest flexibility in choosing healthcare providers?

• HMO

• PPO

• EPO

• Medicaid

An Exclusive Provider Organization (EPO) plan usually:

• Requires a referral for specialists

• Covers both in- and out-of-network providers

• Has no network restrictions

• Offers no coverage for out-of-network care (except emergencies)