mid term exam Flashcards
which of the following best describes the method of funding for health care in the united states?
- CHIP and TRICARE
- fee for service
- blue cross and medicare
- private payers and public programs
private payers and public programs
what was the traditional method of reimbursement for health services before passage of the Affordable Care Act (ACA)?
- fee for service
- payer
- medicare
- private insurance
fee for service
which of the following groups of people is eligible for medicare?
- any adult with cancer
- age 60 or older
- any adult with end-stage renal disease
- age 55 or older
any adult with end-stage renal disease
which group developed the first private hospital insurance plan in 1929?
- teachers
- nurses
- coal miners
- doctors
teachers
in 2019, medicaid provided coverage to how many Americans, which makes it the nation’s largest public health insurance program?
- 2 in 10
- 1 in 10
- 2 in 5
- 1 in 5
1 in 5
the most significant change in government healthcare financing was when Congress approved which of these health insurance programs with the passage of Title XVIII and Title XIX, respectively, of the Social Security Act of 1965?
- medicaid
- CHIPS
- ACA
- CDC
medicaid
which of the following statements best describes the “fee-for-service” model of payment?
- services are paid for on a sliding scale considering severity
- services are paid for depending on the person’s ability to pay
- all services are prepaid at a set fee for each
- the payee is financially rewarded for volume of services rather than for quality of service or cost control
the payee is financially rewarded for volume of services rather than for quality of service or cost control
t/f
managed care organizations is a healthcare delivery system designed to manage cost, utilization, and quality.
true
t/f
in 1983, congress passed a prospective payment bill, under which hospitals are paid a set amount for each patient according to the length of time they stayed in the hospital.
false
t/f
in 2019, total healthcare spending was $3.8 trillion, representing 27.7% of the gross domestic product (GDP) in the united states.
false
the aging of our population has important implications on which of the following? (select ALL correct answers)
- caregiving
- social services
- health care
- higher education
- caregiving
- social services
- health care
which of the following statements about medicaid is true? (select ALL correct answers)
- covers the same services as medicare covers
- it covers prescription drugs
- it is the primary payer for and the only safety-net program for long-term services and supports for many low and middle-income families
- it serves as a supplemental insurance for disabled people
it pays medicare premiums
- it covers prescription drugs
- it is the primary payer for and the only safety-net program for long-term services and supports for many low and middle-income families
- it serves as a supplemental insurance for disabled people
it pays medicare premiums
privately funded long-term care providers that are regulated by federal and/or state governments include which of the following? (select ALL correct answers)
- adult day care
- hospice
- residential care communities
- specialty acute care hospitals
- home health agencies
- adult day care
- hospice
- residential care communities
- home health agencies
which of the following will be the most important disability associated with our aging population?
- contagious diseases
- acute diseases
- chronic diseases
- orthopedic injuries
chronic diseases
medicare health insurance is divided into four parts. which part covers prescription medications?
- medicare A
- medicare D
- medicare B
- medicare C
medicare D
which of the following is the federal requirement that is designed to ensure that individuals are not inappropriately placed in nursing homes for long-term care?
- the preadmission exam for needs and distribution (PEND)
- the preadmission screening and resident review (PASRR)
- the federal long term care screening test (FLTCST)
- the resident ability screening test (RAST)
the preadmission screening and resident review (PASRR)
what is the name of the program supported by the CMS that provides comprehensive preventive, primary, acute, and long-term care services so that older individuals with chronic care needs can continue living in the community?
- pacer
- medicaid
- medicare
- PACE
PACE
t/f
changes in the racial and ethnic composition of the U.S. population should have no significant consequences for the nation’s health.
false
t/f
the majority of americans report that they have a reasonably easy time understanding and using health information needed for them to make appropriate health decisions.
false
t/f
requirements for personnel specifically prepared to serve older people will greatly exceed the current supply.
true
which of the following is an essential health benefit required by all qualified health plans? (select ALL correct answers)
- laboratory services
- maternity and newborn care
- emergency services
- prescription drugs
- behavioral health treatment
- laboratory services
- maternity and newborn care
- emergency services
- prescription drugs
- behavioral health treatment
which of the following are the goals of the affordable care act (ACA) of 2010? (select ALL correct answers)
- decrease use of preventative health services
- increase the need for prescription drug use
- slow the rising costs of health care
- decrease the number of uninsured
- increase the quality and efficiency of health care
- decrease the need for medical testing and equipment
- slow the rising costs of health care
- decrease the number of uninsured
- increase the quality and efficiency of health care
which of the following readmission diagnoses were monitored in 2012 for failure to meet standards, causing lower medicare payments to hospitals? (select ALL correct answers)
- diabetes
- pneumonia
- urinary tract infection
- heart attack
- high blood pressure
- stroke
- pneumonia
- heart attack
- stroke
t/f
ACOs that failed to meet the standard for quality and cost savings were financially responsible for the healthcare costs of patients instead of medicare.
true
t/f
under the HRRP, the amount of money that hospitals receive from medicare reimbursement is based on the readmission rate.
true
t/f
as a result of the ACA, an estimated 20 million individuals obtained health coverage between 2010 and 2016, lowering the percentage of the uninsured from nearly 18% to 10%.
true
t/f
small business health options program, also known as SHOP, offers a way for small employers to offer health insurance to employees.
true
the patient protection and affordable care act (H.R. 3590), modified by the health care and education reconciliation act of 2010 (H.R. 4872), is also known as which of the following?
- gross domestic product (GDP)
- small business health options program (SHOP)
- obamacare
- navigators
obamacare
which of the following is an individual employed and trained to assist consumers in selecting and enrolling in a qualified health plan (QHP)?
- small business health options program (SHOP)
- obamacare
- navigators
- gross domestic product (GDP)
navigators
although medicaid expansion in the south would increase health coverage, ___ states in the south opted out of expansion.
- 3
- 7
- 11
- 13
- 9
11
medical technology includes products used to do which of the following? (select ALL correct answers)
- treat diseases
- chose who should be offered treatment
- monitor human conditions
- diagnose diseases
- treat diseases
- monitor human conditions
- diagnose diseases
which of the following best describes the actions of biomedical engineers?
- they perform clinical trials for new medicines
- they research and develop new medical equipment
- they gather and interpret medical statistics
- they create blueprints for new hospitals
they research and develop new medical equipment
the use of electronic communications and information technologies to provide or support clinical care at a distance is known as which of the following?
- telemedicine
- computerized care
- telephone
- telecare
telemedicine
apps refer to software programs developed to run on a computer or mobile device in order to accomplish a specific purpose, and some examples of medical apps include those that can do which of the following?
(select ALL correct answers)
- conduct vision and hearing test
- provide drug dosage and interaction information
- simulate surgical procedures
- develop patient risk profiles
- conduct vision and hearing test
- provide drug dosage and interaction information
- simulate surgical procedures
- develop patient risk profiles
commonly used health information technology solutions include which of the following? (select ALL correct answers)
- telepathic time travel
- bar coding
- electronic prescribing
- meal preparation
- patient registration
- electronic health records
- bar coding
- electronic prescribing
- patient registration
- electronic health records
t/f
one of the most promising technologies in health care is the use of 3D printing.
true
t/f
a clinical decision support system (CDSS) refers to the variety of experiences with former patients that provide healthcare practitioners with diagnostic and treatment recommendations.
true
t/f
an electronic health record (EHR) refers to an individual patient health record stored in a computer database for easy access by physicians and other healthcare workers regardless of the setting—clinic, hospital, nursing home, or emergency care center.
true
t/f
the balanced budget act of 2009 makes physicians and hospitals eligible to receive incentive payments if they prove that their use of the electronic health record systems meets certain criteria.
false
t/f
numerous HIPAA regulations target concerns about the confidentiality and security of patient information and the steps that must be taken to maintain privacy in the digital world.
true
which of the following best describes the workweek for athletic trainers who work in a non-sports setting?
- 30-40 hours per week including nights and weekends
- 40-50 hours per week including nights and weekends
- 40-50 hours per week with weekends off
- 30-40hours per week with weekends off
40-50 hours per week with weekends off
research shows that there may be a greater demand for exercise physiologists related to which of the following?
(select ALL correct answers)
- with the recent pandemic, more people are using a private trainer
- implementation of the affordable care act
- available health insurance coverage for exercise
- greater emphasis on preventative health
- implementation of the affordable care act
- available health insurance coverage for exercise
- greater emphasis on preventative health
t/f
registered kinesiotherapists use rehabilitative exercises, reconditioning, and physical education to treat patients who have problems moving.
true
t/f
nurses and dietitians are examples of health professionals that specialize in sports medicine by working in cardiac or pulmonary rehabilitation.
true
t/f
athletic trainers can also be referred to as fitness or personal trainers.
false
t/f
athletic trainers spend all of their work hours indoors.
false
t/f
there is very little competition for exercise physiologists because of the many positions currently available.
false
which of the following may be responsibilities of an athletic trainer?
(select ALL correct answers)
- record keeping
- construction
- performing client evaluations
- budgeting
- policy implementation
- record keeping
- performing client evaluations
- budgeting
- policy implementation
which of the following are possible work environments for athletic trainers?
(select ALL correct answers)
- physician’s offices
- secondary schools or colleges
- rehabilitation clinics
- military
- culinary arts
- physician’s offices
- secondary schools or colleges
- rehabilitation clinics
- military
recommended qualities for all athletic trainers consist of which of the following?
(select ALL correct answers)
- possess a strong desire to help people
- be organized and able to manage time wisely
- have a career as a varsity athlete in high school or college
- good social and communication skills
ability to manage difficult situations
- possess a strong desire to help people
- be organized and able to manage time wisely
- good social and communication skills
ability to manage difficult situations
the chiropractic profession concentrates on what type of disorders?
- digestive
- cardiovascular
- musculoskeletal and nervous system
- endocrine
musculoskeletal and nervous system
what types of treatment do chiropractors rely on?
- pharmacology
- non-surgical methods
- surgical
- natural therapies
non-surgical methods
due to their focus on overall health, chiropractors may provide their patients with what type of counseling?
(select ALL correct answers)
- nutritional
- lifestyle
- stress and relaxation
- psychotherapy
- nutritional
- lifestyle
- stress and relaxation
characteristics of a chiropractic curriculum include training in which of the following?
(select ALL correct answers)
- laboratory
- clinical internship
- hospital experience
- classroom training
- laboratory
- clinical internship
- classroom training
t/f
employment for chiropractors is expected to grow about as fast as the average for all occupations.
true
t/f
doctors of chiropractic must be licensed in all but two states.
false
t/f
chiropractors work in an office setting, often as a solo practice or group practice with other chiropractors.
true
t/f
chiropractors held over 50,000 jobs in 2019.
true
t/f
chiropractors must earn a master’s degree from a nationally accredited, 2-year graduate school program.
false
t/f
some chiropractors specialize in areas requiring advanced expertise and training.
true
