Purpose of the summary of benefits coverage

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Reference no: EM132305492

1. In 1965, Medicare and Medicaid were established as federally funded programs to provide

A. Health care access to the elderly and the poor respectively.

B. Healthcare access to military personnel and veterans and their dependents.

C. Healthcare care access to the homeless.

D. Healthcare access to the mentally ill.

2. What is the purpose of the Summary of Benefits Coverage (SBC)?

A. Provides information to physicians about health insurance coverage.

B. Provides health insurance benefits information which enables consumers to compare different insurance plans.

C. A and B

D. None are correct statements

3. _____________ is one of the fastest growing components of the healthcare industry as a form of employment.

A. Home healthcare services

B. Certified nursing assistants

C. Respite care givers

D. None are correct

4. Which statement(s) is(are) correct about healthcare access in the U.S?

A. Healthcare access should increase as a result of the Affordable Care Act.

B. Healthcare access varies across the country.

C. Health insurance is a major reason for healthcare access.

D. All are correct

5. Why is it important to have hospitals certified?

A. It enables hospitals to provide services to all individuals regardless of ability to pay.

B. Accreditation is important because it focuses on building codes, sanitation, equipment and personnel.

C. Certification enables hospitals to obtain Medicare and Medicaid reimbursement.

D. It is a private standard developed by accepted organizations as a way to meet standards.

6. Respite care or temporary care programs were established in the 1970s to:

A. Establish medical care for adults in day programs.

B. Care for those who have a life threatening illness

C. Provide systematic relief to those caregivers of chronically ill who need a break.

D. Funded by state and local governments, they provide an array of services to the older population.

7. Urgent/emergent care centers were established in the 1970s because:

A. They provided an opportunity for healthcare consumers who need medical care but the situation is not life threatening.

B. They established an opportunity to provide alternative care treatment such as yoga and alternative vitamin therapy.

C. They provided an opportunity for healthcare consumers to make appointments to receive ongoing care in their neighborhood.

D. All of these statements are true.

8. The advantage of having hospitalists in the care of inpatients include:

A. A & C are both correct.

B. Their expertise in caring for complicated hospitalized patients on a daily basis.

C. They are available to see the patient more than once a day if necessary.

D. They have a past relationship and familiarity with the patient.

9. What is (are) the primary responsibility(ies) of pharmacy technicians?

A. Take from customers or health professionals the information needed to fill a prescription.

B. All are correct

C. Count tablets and measure amounts of other medication for prescriptions

D. Compound or mix medications, such as preparing ointments

10. The Independent Practice Association (IPA) is a type of Health Maintenance Organization (HMO) model that:

A. Contracts with a group of physicians who are in private practice to see managed care members at a prepaid rate per visit.

B. Negotiates with a group of physicians exclusively to perform services.

C. Hires physicians to work at a physical location.

11. The stewardship model of public health focuses on:

A. If there is a natural disaster, physicians must treat those affected by the event.

B. The doctor will make the best decisions for the patient's health.

C. Public health officials should achieve the stated health outcomes for the population while minimizing restrictions on people's choices.

D. Individual freedom must restrict for the sake of public health interventions.

12. Major stakeholder(s) that has an interest in the healthcare industry include:

A. Government

B. All are correct answers.

C. Pharmaceutical Companies

D. Insurance Companies

13. The general term of health or medical informatics refers to:

A. The science of computer application to data in different industries.

B. The systems that store, transmit, collect and retrieve data.

C. The application of computer technology to organs and tissue imaging

D. The science of computer application that supports clinical and research data in different areas of healthcare.

14. _________is a new model for delivering health care - it moves information electronically to consumers without a patient physically seeing a healthcare provider.

A. Telehealth

B. Social media

C. Telemarketing

D. Telemedicine

15. The concept of defensive medicine has occurred which states that:

A. Nurses are defensive about their work because patients are always complaining about them.

B. Physicians who specialize in certain areas of medicine are becoming defensive because the U.S. needs more primary care physicians.

C. Physicians order more tests and provides more services than needed to patients to protect themselves from medical malpractice lawsuits.

D. Physicians are defensive about their practices because they are paid such high salaries.

16. The American Medical Association recommends which step(s) to a physician on how to terminate a relationship with a patient?

A. All are correct

B. Provide assistance to the patient to find another physician

C. Provide a specific reason for the termination

D. Giving the patient written notice

17. Which statement(s) is (are) describe local health department services?

A. Nearly all provide immunizations to adults and children

B. Nearly all provide surveillance of infectious/communicable diseases

C. A and B

D. Immunizations are provided by children only

18. The “graying” of the U.S. population as it relates to healthcare means that

A. We are becoming healthier as a nation because older people are now exercising more.

B. Although our population is older, healthcare costs are reduced because we are healthier as we age.

C. The U.S. will be confronted with more chronic health issues because as we age, more chronic health conditions develop. This will result in more stress on the U.S. healthcare system.

D. None of the above

19. Which statement(s) is (are) correct about 'Pay for Performance' in health care?

A. Value-based purchasing is the same concept.

B. All are correct statements

C. Payments systems that reward healthcare providers for their efficiency in treating patients

D. Higher quality care for less cost is the goal of “Pay for Performance”

20. What is (are) example(s) of complementary and alternative medicine (CAM)?

A. Inpatient Hospital Care

B. Spiritual Healing

C. Prescription Drugs

D. Yoga

E. B & D are both correct.

Reference no: EM132305492

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