NUR4837 Midterm UPDATED Actual Exam Questions and CORRECT Answers
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Course
NUR4837
Institution
NUR4837
NUR4837 Midterm UPDATED Actual
Exam Questions and CORRECT Answers
Factors driving healthcare in the US - CORRECT ANSWER- 1. preeminence of the
biomedical model
2. financial incentives for physician specialization and hospital expansion
3. nature of control over health planning --> profess...
NUR4837 Midterm UPDATED Actual
Exam Questions and CORRECT Answers
Factors driving healthcare in the US - CORRECT ANSWER✔✔- 1. preeminence of the
biomedical model
2. financial incentives for physician specialization and hospital expansion
3. nature of control over health planning --> professionalism
Medicare Part A - CORRECT ANSWER✔✔- hospital insurance; financed through SS taxes
Medicare Part B - CORRECT ANSWER✔✔- physician services; financed through federal
taxes and monthly premiums
Medicare Part D - CORRECT ANSWER✔✔- offers prescription drug coverage; financed
through federal taxes and premiums
Medicare Modernization Act of 2003 - CORRECT ANSWER✔✔- Part C- expanded role of
private health plans
Part D- prescription drug coverage
3 Forms of Managed Care - CORRECT ANSWER✔✔- 1. fee for service payment with
utilization review
2. preferred provider organization (PPO)
3. health maintenance organization (HMO)
first generation HMO - CORRECT ANSWER✔✔- -vertical integration
-full time physicians with salary
-HMO owns health plan, hospitals, medical groups, etc
second generation HMO - CORRECT ANSWER✔✔- -virtual integration
-mix of IPAs, hospitals, pharmacies, etc. not owned by HMO
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