6300 Week 5,6 7Quiz
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University of Texas, Rio Grande Valley *
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Course
6300
Subject
Medicine
Date
Apr 3, 2024
Type
docx
Pages
7
Uploaded by KOUNOMI
Week 5
What is the purpose of risk sharing with providers?
It makes providers immune to costs.
It makes providers cost-conscious.
It rewards providers for quality.
It keeps insurance premiums low.
Antitrust legislation is intended to provide checks against:
anticompetitive behavior.
fraud and abuse.
self-referral of patients.
payments for patient referrals.
What type of integration is represented by a chain of nursing homes?
Vertical integration
Network
Horizontal integration
Diversification
Sharing of existing resources without joint ownership of assets describes a(n):
acquisition.
merger.
joint venture.
alliance.
When two organizations cease to exist and a new corporation is formed, this is called a(n):
acquisition.
merger.
joint venture.
alliance.
Capitation is best described as:
a monthly lump sum payment regardless of utilization.
a monthly lump sum payment regardless of cost.
a fixed monthly fee per member.
payments capped to a maximum cost for delivering services.
When an organization ceases to exist as a separate entity and is absorbed into the purchasing
acquisition.
merger.
joint venture.
alliance.
In the delivery of long-term care, customized interventions are carried out according to:
an individual assessment.
a plan of care.
weekly evaluations by the patient’s physician.
the philosophy of total care.
A continuing care retirement community (CCRC) provides different levels of long-term care options in one
location.
True
False
A long-term care facility must be certified in order to:
operate as a nursing home.
comply with national fire and safety codes.
obtain deemed status.
admit Medicare and/or Medicaid patients.
Week 6
Which racial/ethnic group has the highest rate of uninsurance?
Selected Answer:
Hispanic
Answers:
White
Black or African American
Asian or Pacific Islander
Hispanic
What does the federal Ryan White CARE Act fund?
Selected Answer:
Development of treatment and care options for persons with HIV and AIDS
Answers:
Care for underserved rural and urban populations
Skin cancer screening programs
School-based health services in predominantly minority neighborhoods
Development of treatment and care options for persons with HIV and AIDS
In the absence of specific therapy to interrupt transmission of HIV, an infected woman has what percent chance of having a child born with HIV?
Selected Answer:
20%
Answers:
10%
20%
50%
75%
What is the major health challenge of the migrant population?
Selected Answer:
Infectious disease
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Answers:
Heart disease
Cancer
Infectious disease
Malnutrition
Children under age 18 comprise approximately what percentage of the homeless population?
Selected Answer:
22.8%
Answers:
10.4%
22.8%
43.2%
61.3%
Which of the following is true for a 40-year-old man who rarely exercises and eats few fruits and vegetables?
Selected Answer:
He is at increased risk for chronic disease.
Answers:
These lifestyle habits increase his susceptibility to HIV/AIDS.
The effects of his lifestyle can be offset by medical interventions.
He is at increased risk for chronic disease.
He would likely be denied health insurance.
Which of the following is an example of a significant difference that exists across various racial/ethnic groups on health-related lifestyles and health status?
Selected Answer:
Low birth weights were highest among African Americans in 2016.
Answers:
African American women who are 40 years of age and older are more likely to
have yearly mammograms than the Asian female population.
Low birth weights were highest among African Americans in 2016.
Asian women had a higher percentage of cervical cancer in 2016 than Hispanic
and White females.
Hispanic females are more likely to have had multiple pregnancies by age 25.
Which of the following is the leading cause of death for children and adolescents?
Selected Answer:
Unintentional injuries
Answers:
Asthma
Depression
Unintentional injuries
Lack of immunizations
Women in the United States live longer than men but suffer greater morbidity and poorer health outcomes.
Selected Answer:
Tru
e
Answers:
Tru
e
Fals
e
The rural health Clinics Act was developed in 1977 to respond to the concern that isolated rural communities could not generate sufficient revenue to support the services of a physician.
Selected Answer:
Tru
e
Answers:
Tru
e
Fals
e
Week 7
When consumers and financiers speak of the “cost” of health care, they usually mean the “price” of health care.
True
False
In 2018, health care spending in the United States was $3.6 trillion, or 17.7%
of GDP.
True
False
US businesses argue that rising insurance premiums must be passed on to the health care facilities in the form of higher prices, which may interfere with the ability of businesses to stay globally competitive.
True
False
Since the early part of the 19
th
century, life expectancy in the United States has consistently increased.
True
False
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Administrative costs are associated with the management of the financing, insurance, delivery, and payment functions.
True
False
Fraud, defined as a knowing disregard of the truth, has been identified as a major problem in the Medicare and Medicaid programs.
True
False
Statutes of certificate of need were state-enacted legislation whose primary purpose was to control capital expenditures by health facilities.
True
False
Quality improvement organizations are government organizations composed of practicing physicians and other health care professions in each state who are paid by the CMS under contract to review the care provided to Medicare beneficiaries.
True
False
Donabedian (1985) proposed three domains in which health care quality could be examined: structure, process, and outcomes.
True
False