Question

In: Nursing

1 Despite spending more money per capita, the U.S. often falls behind other industrialized countries in...

1 Despite spending more money per capita, the U.S. often falls behind other industrialized countries in terms of health outcomes. True or False?

True

False

2 Which U.S. president is responsible for signing in a law that provided healthcare insurance coverage for the elderly and the poor?

Johnson

Truman

Kennedy

Roosevelt

3 The Consumer-Driven Health Plan (CDHP) is one of the most recent innovations in the insurance market. Which statement does NOT correctly reflect the theory related to CDHP? Select all that apply.

Consumers are empowered to make personal decisions about their coverage

Overuse of services is due to consumers not knowing the cost of the services

Consumers are cost conscious due to the risk of being responsible for payment

Internet access makes consumers more cost conscious about healthcare

Patients have a high level of knowledge to discern between cost and quality

4 Which managed care mechanism pays providers a set amount each month for each covered patient?

Capitation

Utilization review

Ambulatory care

Gatekeeping

5 Why is hospital financial planning a big problem?

Nearly all costs are indirect

There has yet to be a formula devised for it

Lack of qualified administrators

It is dependent on the population surrounding the facility

Solutions

Expert Solution

1. true (US spends more money than any other countries. health outcome was not same)

2. president lyndon B. Johnson went truman library and signed the law (medicare and medicaid)on july 30 1965. medicaid provides health insurance to low income familities, pregnant women etc whereas medicare generally provide care to senior citizen. roosevelt created social security act for retired people.

3. Over use of services due to consumers not knowing cost of services

other are related to Consumer driven health plan

4.capitation (there are 3 payment method mechanicsm namely capitation, discounted fee, salaries )

other are invalid because ambulatory care is care given to patient on outpatient department

utilitization review is request for review for specfic procedures and purposes in order to determine appropriate treatment

5. nearly all are indirect cost (over head expenes like utilities and administartive cost like salaries accounting department cost and personnel department cost)

others are invalid financial planning done by CEO and administartive board finacial planning is not dependent on surrounding population

Nightingale answered 1 year ago

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