Question

1. A hospital located outside a metropolitan statistical area is termed a

1. Specialty Hospital
2. Rehabilitative Center
3. Rural Hospital
4. Government Sponsored Hospital

2. A demand for payment of covered medical expenses sent to an insurance company is called

1. A Claim
2. A Co-Payment
3. The Deductible
4. Cost Sharing

3. Each of the following is an important characteristic of a health insurance policy Except

1. Deductible
2. Co-Payment
3. Premium
4. COBRA

4. Medicare Part A provides service for

1. Prescription Drugs
2. Hospital Stays
3. Primary Care Physician
4. Mental Health Services

5. Healthy Behavior can be modified through

1. Only financial assistance
2. Educational programs and incentives
3. Police enforcement
4. Only community churches

6. What type of Health Insurance is based on Market Justice

1. Publicly financed Medicare
2. No Insurance
3. Publicly financed Medicaid
4. Private employer-based Health Insurance

7. An 80 to 20 ratio of cost sharing when health care services are used is an example of

1. Deductible
2. Co-Insurance
3. Co-Payment
4. Stop Loss Provision

8. The fee-for-service method of payment
   1. Induced providers to deliver nonessential services
   2. Bundled charges under one price
   3. Is largely in use today
   4. Has an incentive to contain costs

9. The Medicare program that motivates and promotes the quality of inpatient care in the hospital setting is known as

1. Medicare Part A
2. Provider-Induced demand
3. Medicare Advantage plan
4. Hospital Value-Based Purchasing

10. Cost sharing

1. Controls overutilization
2. Shifts a greater proportion of costs to the employer
3. Shifts a greater proportion of costs to providers
4. Rations needed health care

Answer 1

1)A hospital located outside metropolitan statistical area known as Rural hospital. Answer is option c . Speciality hospital is a hospital which serves specialty services such as orthopaedics, opthamologic hospital etc. Rehabilitative center is type of hospital which treat rehabilitative patients such as last stage of cancer. Govt sponsored hospitals are which are sponsored by government authorities.

2) Demand for covered medical expenses to a insurance company is known as a claim , answer is option a . Co payments are payments made by insured persons for services such as doctor visit , or prescription deductible is the amount you have to pay before your insurance plan started paying. Cost sharing is the amount payed for uninsured services.

3) All things are part of insurance policy except COBRA , it's a act known as consolidated omnibus budget reconciliation act. According to this act workers and families can continue their health benefits for a given period of time. So answer is option d . Deductible , premium and co payment are part of policy

4) Medicare A provides services inside hospitals such as surgery, lab tests etc . So answer is option b .

5) Healthy behavior modified by education programs and incentives , answer is option b.   

6) Market justice insurance is private employer based insurance where middle income groups are served. So answer is option d.

7) If you pay 20%as deductible then company will pay 80% this type is known as co insurance. So answer is option b.

8) Fee for service method, all services bundled together and pays separately. It gives incentives to physicians for more treatment because it considers only quantity not quality of care. So answer is option d.

9)Medicare which promotes and motivates quality of care in hospitals are known as hospital value based purchase , in this programme mainly concerned about quality of care for that incentives will be given to care providers. Thus answer is option d.

10) Cost sharing include deductible, co insurance and co payments and all , means the amounts you put out of your pockets. This will help to reduce over utilization this answer is option a.