MHA 707 Exam D CORRECT QUESTIONS & ANSWERS(RATED A+)
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Course
MHA 707
Institution
MHA 707
What changes in HC during 19th century lead to Modern HC system? - ANSWER •Began to professionalize health care workforce working in specialized institutions to deliver health care services
•Health care research sector that advances diagnosis and treatment
•Industry that provides health ca...
MHA 707 Exam D CORRECT
QUESTIONS & ANSWERS(RATED A+)
What changes in HC during 19th century lead to Modern HC system? - ANSWER •Began to
professionalize health care workforce working in specialized institutions to deliver health care
services
•Health care research sector that advances diagnosis and treatment
•Industry that provides health care supplies and therapeutics
•Began a classification and data-collection system to evaluate health care performance
What is the AMA? - ANSWER American Medical Association founded in 1847.
What did the AMA accomplish? - ANSWER Established standards for preliminary medical education
for the degree of MD, code of medical ethics, recommended use of anesthetic agents for
surgery/obstetrics, noted the dangers of secret remedies, and recommended the state govs register
births, marriages, and deaths.
Experience rating - ANSWER Rating system that bases insurance rates on claims history
tailors policies and premiums to a particular group or individual
HC in America at turn of 20th century. - ANSWER Doctors were mostly solo practitioners
Hospitals were single, independent entities, mostly non-profit•Long-term care for the elderly was
largely home-based•Pharmaceutical and medical device manufacturing was small business.Health
care was a minor part of the economy
Blue Cross plans were established? - ANSWER to provide "prepaid" hospital care to workers in the
Dallas public school system
, Community Rating - ANSWER refers to insurance pricing whereby everyone in same geographic area
pays the same premium.
What is HIPAA? - ANSWER Health Insurance Portability and Accountability Act
How does HIPAA affect HC? - ANSWER Brought about a number of significant improvements in
access to health coverage by mandating: portability of coverage, insurance coverage for at least a 2-
day hospital stay for women who give birth (4 for c-section), and mental health.
EMTALA is designed to? - ANSWER Emergency Medical Treatment and Labor Act- 1986. Fillings gaps
in healthcare coverage.
dumping - ANSWER refers to situations when hospitals deny emergency medical screening and
stabilization services. It also refers to instances when a hospital transfers an individual to another
hospital after discovering that the individual does not have insurance or a means to pay for
treatment.
What is the Hill-Burton Act? - ANSWER Community hospitals built with federal funds
What were some of the major pressures on HC in last half of the 20th century? - ANSWER •access to
health care•Provide health insurance in order that patients can afford care, and providers are
compensated for their services•Build facilities, particularly hospitals, needed to provide health care
Blue Cross/Blue Sheild - ANSWER leading employer-based health insurance plans. Unified in 1940s.
Served 24m members together and included 81 hospital and 44 medical plans. Voluntary, nonprofit
companies. Used community rating and not experience rating to set prices for their products.
Capitation - ANSWER System of payment used by managed care plans in which physicians and
hospitals are paid a fixed, per capita amount for each patient enrolled over a stated period regardless
of the type and number of services provided; reimbursement to the hospital on a per-member/per-
month basis to cover costs for the members of the plan.
fee-for-service - ANSWER a system under which doctors and hospitals receive a payment for each
service they provide
Value "Equation" - ANSWER Value = Quality/Cost
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