Healthcare financing/ Healthcare Delivery Systems Questions with Correct Answers
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Course
UHC Certification
Institution
UHC Certification
Single-payer health care system Correct Ans Tax $ pay for health insurance provided to all residents through gov
Providers may be public, private, or a combination
Insurers may be not-for-profit or for-profit; tightly regulated
two-tier health care system Correct Ans Mandated minimum/catastr...
Healthcare financing/ Healthcare Delivery Systems
Questions with Correct Answers
Single-payer health care system Correct Ans ✓✓ Tax $ pay for health
insurance provided to all residents through gov
Providers may be public, private, or a combination
Insurers may be not-for-profit or for-profit; tightly regulated
two-tier health care system Correct Ans ✓✓ Mandated
minimum/catastrophic coverage- required or provided for all
Patients may voluntarily purchase additional coverage/ services
insurance mandate Correct Ans ✓✓ Gov mandates that all residents
purchase insurance from private, public, or not-for-profit insurers
Typically no pre-existing condition clauses- insurers must accept
everyone
primary health care services Correct Ans ✓✓ Focus- Well care, disease
prevention, screening, common health problems
Setting- primary care, office/ clinic, urgent care, employee health
secondary health care services Correct Ans ✓✓ Focus- disease
identification and management
Settings- hospital based clinics, EDs, psychiatric facilities, same day
surgery
, tertiary health care services Correct Ans ✓✓ Focus- rare/ complex
disease management
Settings- tertiary care, medical centers (MGH, DHMC)
Governmental (public) agencies Correct Ans ✓✓ fully or partially
funded by taxes
Ex- CDC
Voluntary (private) agencies Correct Ans ✓✓ partially supported by
donations and grants
not for profit agencies Correct Ans ✓✓ profits reinvest in organization
Ex- american heart association
for profit agencies Correct Ans ✓✓ stockholders
Medicare Correct Ans ✓✓ federal health insurance program that was
created in 1965 for all people ages 65 and over regardless of income or
medical history; expanded to people under 65 years old with disabilities
Medicare Parts A, B, C, and D Correct Ans ✓✓ Medicare Part A
provides coverage for care in hospitals, skilled nursing facilities, home
health, and hospice care.
Medicare Part B provides outpatient medical coverage.
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