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HSA Exam 1 With Complete Solutions 2023
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HSA Exam 1 With Complete Solutions 2023
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HSA Exam 1 With Complete Solutions2023
Gatekeeper - correct answer-is utilized in managed care to control access to medical
specialists and various other services.
Capitation - correct answer-is another aspect of managed care, and is an approach to
payment for health care under which a provider is paid a specific amount of money to
serve the health care needs of a given population.
Health Maintenance Organization (HMO) - correct answer-is the most commonly
encountered form of managed care. The HMO was promoted as a remedy for rising
healthcare costs by the Health Maintenance Organization Act of 1973.
Mergers - correct answer-two or more corporate entities combine to create one new
organization.
What happens after a merger of 2 or more companies? - correct answer-there would be
one licensure, one provider number for reimbursement, one central board of trustees or
directors, and debts and assets would be consolidated.
affiliation - correct answer-is a formal agreement between or among member facilities to
coordinate and share one or several activities. Ownership and control of each faction
remains separate, but binding agreements are developed.
What kind of activities are covered by affiliation? - correct answer-typically include
managed care negotiations, group purchasing discounts, staff development and
educational offerings, and shared management services.
Horizontal Integration - correct answer-a group of hospitals merge or form alliances in
order to purchase supplies and services at a volume discount. The group of hospitals
may also market themselves together.
Vertical Integration - correct answer-includes several service components, with each
addressing some dimension of the population's health care needs.
Virtual Enterprise - correct answer-is a temporary partnership of independent
companies that join together to take advantage of technology to provide virtual services
or products. They often rely on outsourcing.
Technology
What are organizational survival strategies? - correct answer--Bureaucratic
-Imperialism
, -Co-optation,
-Hibernation
-Adaptation.
bureaucratic imperialism - correct answer-refers to the conflict that can occur when two
or more organizations attempt to take control over a certain client group or territory.
Co-optation - correct answer-is an adaptive response on the part of the organization in
response to the social forces in its environment.
formal co-optation - correct answer-the symbols of authority and administrative burdens
are shared but no substantial power is transferred. However, the organization seeks to
demonstrate its accessibility to the public.
informal co-optation - correct answer-occurs when organizational leaders meet regularly
with some groups, but there are no visible changes in the official leadership structures.
Hibernation - correct answer-occurs when an organization chooses to cut its losses and
enter a phase of economizing.
examples of hibernation in healthcare settings - correct answer--A hospital may choose
to close a unit that is not productive and put those resources elsewhere.
-The hospital may also adapt by anticipating problems and trying to increase the
productivity of the unit by investing in resources to improve the unit.
Goal succession - correct answer-One goal is reached and is succeeded by a new one
Goal expansion - correct answer-occurs when the original goal is retained and enlarged
with variations. The new goals are closely related and are extensions of the original
goal.
Goal multiplication - correct answer-involves retention of the original goal and the
addition of new goals. The new goals reflect the organization's efforts to diversify. Goal
multiplication is a natural outgrowth of success.
Organizational life cycle - correct answer-Gestation, Youth, Middle Age, Old Age
gestation - correct answer--The early formative stage in which there is a movement from
informal to formal organization.
-Leadership tends to be strong and committed, and members are willing to work hard.
-The members strongly identify with the organizational goals because they helped to
develop them. Innovation is encouraged and accepted.
Youth - correct answer--Includes continued enthusiasm, idealism, and high hopes.
Middle age - correct answer--Many activities have become routine and predictable.
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