In: Nursing
34. Laws are in place to protect motorists and cyclists alike Helmet laws are primarily in place to offset the of the general public paying the costs for motorcycle accidents
Outrage
Cost shifting
Moral hazard
Free Rider problem
35. While policy makers have many concerns with regard to health care, policy makers are most concerned about which of the following?
Waste & efficiency
The free rider problem
Reaching underserved areas
All of the above
37. In response to high malpractice insurance costs, obstetricians may stop performing deliveries & provide only gynecologic services. Of what is this an example?
Malpractice
Abandonment of care
The free rider problem
Withdrawal of services
Decline in fee for service
38. Some experts argue that requiring health care providers to obtain state approval before making major capital investment stifles competition. Select from below the regulation this statement describes.
Antitrust regulation
State building permits
Connector authority requirements
Certificate of need (CON) legislation
39. Select from below the statement which is false
In response to the current climate, insurers are now showing more interest in offering self-insurance plans small employers
The largest expenditure for individual states often Medicaid
Whereas the federal government is more concerned with keeping health care costs down, local governments put More emphasis on having a satisfied public
Prior to the passage of the ACA, over half of state governors had proposed health insurance reform measures
41. Single-payer-health-care in which the government pays for universal coverage, is beneficial for two reasons. Select from below the two (2) reasons government control is advantageous
Government control helps keep costs down through regulation & negotiation of the price of drugs & medical services
Government control eliminates the need for a vast private health insurance bureaucracy
Government control ensures the quality of professional services of health care teams
Government control eliminates all competition among health care agencies to provide health care services
42. A few states have taken steps toward universal health care coverage. States which have attempted to establish universal coverage have had trouble. Select from below the reason states have not been successful:
States have had problems with free riders
States are diligently attempting to build in a no work requirement
States are having trouble paying for health care coverage
States are having problems getting their proposal through insurance regulators
47. The amount of the capitation will be determined in part by the number of services provided & will vary from health plan to health plan. Regardless of the plan one definite feature of a capitation compensation plan is that it
Cannot cover aftercare
Focuses on quality metrics
Reduces the provider's risk
Increases the provider's risk
Does not focus on quality metrics
48. The ACOs (Accountable Care Organizations) & HMOS (Health Maintenance Organizations) have shown success in controlling costs Because they are:
Well Funded
Seldom non-profit
Focused on maximizing revenue
Focused on increasing the population served
50. Health problems thought to be eradicated in the U. S. have resurfaced due to children not being properly vaccinated. Which description below would be likely to fit a television campaign to encourage parents to vaccinate their children?
Lobbying
Education
Public relations
Direct-to-consumer advertising
34. outrage is a strong moral emotion characterized by a combination of surprise , disgust and anger usually in reaction to a grave personal offense. It does not involve any financial issues. Hence, Option A is incorrect
Cost shifting occurs when a hospital or other health care provider charges an insured patinet more than an uninsured patient for the same procedure.In general, those with health insurance pay to the hospitals , inorder to cater financial losses caused by the low payments of medicare patients. Hence option B is incorrect
Moral hazard is a situation in which one party gets involved in a risky event knowing that it is protected against the risk and other party will incur the cost. In this case the motorists and cyclists are protected by law, the general public is paying the for the losses caused by accidents. Hence, the Option C is the correct answer
Free rider problem is the burden on a shared resource that is created by its use or overuse by people who are n't paying any share.Hence option D is incorrect
35. Waste and efficiency, free rider problem,reaching underserved are the major concerns of policy makers. hence Option D is the answer
Free riding is a problem associated with public goods and thus affects financial stability
They are concerned with material efficiency and consumption to prevent wastage of resources
Targeting programs to provid benefits for underserved population
37. malpractice is an improper, illegal or negligent professional activity or treatment especially by a medical practioner. Here, the obstetricians are not doing any harm to the patient during treatment, they are intentionally not conducting deliveries. Hence Option A is incorrect
Abandonment of care or patinet abandonment means the doctor terminates the doctor - client relationship without any further notice or a reasonable excuse. Here, they are not ending the client relationship abruptly. Hence Option B is incorrect
Withdrawl of service means discontinuing a service availability to some or group of utility's customers receiving the service as of it is withdrawn. Here, Obstetricians are withdrawing their delivery services and providing only gynecological treatments. Hence option C is the correct answer
Fee-for-service where services are unbundled and paid separately. It gives an incentive for physicians to provide more tretment. Payment is in terms of quantity not quality.Hecnce, option D is incorrect
38.Antitrust laws referred to as competition laws are statutes developed by the US government to protect consumers form predatory business practices. The main aim is to ensure that a fair competition exists in an open market economy, hence option A is incorrect answer
State building permit is an official approval issued by the local government agency that allows to proceed with a construction or remodelling project on one's property. It is intended to ensure that the project plans to comply with local standards for land use,zoning and constuction. Hence, Option B is incorrect
Connector authority rquirements is an independent quasi governmental agency charged with helping businesses and individuals without access to employer sponsered insurance and gets coverage. Hence, option C is incorrect
Certificate of need laws are state regulatory mechanisms for establishing or expanding health care faciliites in a given area . This program aims to control health care costs by restricitng duplicating services and determining whether new capital expenditure meet a community need . It is a legal document requiried inorder to construct anew health care facility. hence option D is correct answer