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Introduction to Healthcare and Public Health in the US: Financing Healthcare

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Introduction to Healthcare and Public Health in the US: Financing Healthcare (Part 1)Introduction to Healthcare and Public Health in the US: Financing Healthcare (Part 1)Self-assessment key1. Most people in the US get health insurance through:*a. An employer b. Their county health departmentc. Their state health departmentd. The federal governmentAnswer: a. Healthcare payers include public and private sources. Most people (55%) get their healthcare insurance from an employer.Objective(s): 2Lecture(s)/Slide(s): a142. All of the following are privately funded EXCEPT:a. BlueCross Blue Shieldb. Commercial insurersc. Managed care organizations*d. The Children’s Health Insurance ProgramAnswer: d. The Children’s Health Insurance Program (CHIP) is a federally funded program administered by the states.Objective(s): 2, 4Lecture(s)/Slide(s): a15-163. BlueCross BlueShield is:a. A managed care organizationHealth IT Workforce Curriculum Introduction to Healthcare and 1Version 3.0/Spring 2012 Public Health in the US Financing Healthcare (Part 1)This material (Comp1_Unit4) was developed by Oregon Health and Science University, funded by the Department of Health andHuman Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015.*b. An association of private companiesc. Funded by the federal governmentd. Funded by all 50 statesAnswer: b. Blue Cross Blue Shield is an association of companies originally formed to avoid state insurance regulations to provide hospital and physician services, that now operates as a commercial health insurer.Objective(s): 2, 3, 4Lecture(s)/Slide(s): a15, d104. Which of the following is NOT true about the United Kingdom’s National Health Service (NHS)?a. It covers all residents.b. It covers dental and vision care.*c. It is free.d. It is funded mainly by taxes.Answer: c. UK residents are required to pay for some healthcare services out of pocket.Objective(s): 2Lecture(s)/Slide(s): c10, 125. The Canadian healthcare system:a. Covers only residents who do not have coverage through a jobb. Has no wait lists for its servicesc. Is funded mainly by patient fees*d. Limits the use of private insurance for the services it providesAnswer: d. Private health insurance may not be used to cover healthcare services provided by the provincial or territorial programs.Objective(s): 2Health IT Workforce Curriculum Introduction to Healthcare and 2Version 3.0/Spring 2012 Public Health in the US Financing Healthcare (Part 1)This material (Comp1_Unit4) was developed by Oregon Health and Science University, funded by the Department of Health andHuman Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015.Lecture(s)/Slide(s): c15, 22-236. Managed care plans:a. Are much less common today than they were 50 years ago*b. Combine health insurance and healthcare servicesc. Pay doctors on a fee-for-service basisd. All of the aboveAnswer: b. Managed care organizations combine health insurance with the delivery of healthcare services to keep costs low and provide quality care.Objective(s): 4Lecture(s)/Slide(s): d13-187. Of the following types of plans, costs for the patient are lowest, but choice of providers is most restricted, in a:*a. Health maintenance organizationb. Indemnity planc. Preferred provider organizationd. Point-of-service planAnswer: a. The Health Maintenance Organization (HMO) provides the lowest cost but restricts the patient’s choice of providers.Objective(s): 4Lecture(s)/Slide(s): d158. What group determines whether someone is eligible for Medicare and processes theirpremium payments?a. The Centers for Medicare & Medicaid Servicesb. The Federal Insurance Contributions AgencyHealth IT Workforce Curriculum Introduction to Healthcare and 3Version 3.0/Spring 2012 Public Health in the US Financing Healthcare (Part 1)This material (Comp1_Unit4) was developed by Oregon Health and Science University, funded by the Department of Health andHuman Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015.*c. The Social Security Administrationd. The US Department of Health & Human ServicesAnswer: c. Medicare is Title XVIII of the Social Security Act.Objective(s): 6Lecture(s)/Slide(s): e59. Choose the best statement about Medicaid and Medicare coverage:a. Medicaid covers older adults; Medicare covers people with low incomes.b. Medicaid covers people with low incomes; Medicare covers children and pregnant women in families that earn too much for Medicaid.*c. Medicare covers older adults; Medicaid covers people with low incomes.d. Medicare covers all uninsured children and pregnant women; Medicaid covers older adults.Answer: c. Medicare is for the elderly over age 65 and certain people with disability. Medicaid is for the individuals with low incomes.Objective(s): 6Lecture(s)/Slide(s): a11, 1910. Which of the following statements is/are TRUE?a. Medicaid has different names in different states.b. Medicaid is funded by federal income taxes; c. Medicare is partially funded by individuals and their employers through payroll taxes; d. Some people on Medicaid also qualify for Medicare.*e. All of the aboveAnswer: e. Medicaid is a healthcare program operated by each state with individual state eligibility requirements and benefits according to rules established by the Federal Health IT Workforce Curriculum Introduction to Healthcare and 4Version 3.0/Spring 2012 Public Health in the US Financing Healthcare (Part 1)This material (Comp1_Unit4) was developed by Oregon Health and Science University, funded by the Department of Health andHuman Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015.government. The Federal government partially funds each program. The elderly poor may qualify for both Medicare and Medicaid.Objective(s): 6Lecture(s)/Slide(s): e12-1511. All of the following statements about healthcare and its role in the economy are true except:a. Healthcare expenditures account for approximately one out of every six dollars spent in the United States during 2009.*b. Healthcare is the tenth largest sector of the US economy.c. The US spent more than $8000 for each person on healthcare in 2009.d. The US spends more on healthcare per person than any other country in the world.e. One can evaluate the payment for healthcare services from multiple points of view including


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