Exam (elaborations)
HTH 354 exam 1 (Howley)questions with verified solutions
- Course
- Institution
HTH 354 exam 1 (Howley)questions with verified solutions
[Show more]
Content preview
HTH 354 exam 1 (Howley)questions withverified solutions
The Quad-Functioning Model - correct answer ✔✔1. Financing (Employers, government, independent)
2. insurance (protection)
3. Delivery (health care providers, hospitals)
4. Payment (pay or service)
Financing - correct answer ✔✔necessary to obtain health insurance or to pay for health care services
employment - correct answer ✔✔For most privately insured Americans, health insurance is
______________ based financing
government financing - correct answer ✔✔functions as the financer in public programs; the insurance
function may be carved out to an HMO
independent financing - correct answer ✔✔self-funding
insurance - correct answer ✔✔Protects the insured against financial catastrophe by providing expensive
health care services when needed
Delivery - correct answer ✔✔refers to the provision of health care services by various providers
ex: hospitals
payment - correct answer ✔✔Deals with reimbursement to providers for services delivered
10 - correct answer ✔✔_____% of the population does NOT have heath care insurance
,Affordable Care Act/ Obamacare (ACA) - correct answer ✔✔- Passed March 23, 2010
- reduce number of uninsured
- Stay on family plan until 26
- Large Health Care reform
- Still not universal coverage
- Zero republicans voted for it
-fined $695 if you do not have health insurance
-18.2%
- 10% - correct answer ✔✔-uninsured rate among the non-elderly population spikes at its highest of
_______ % right before the ACA is implemented.
-now we are ______% uninsured
US Health Care System - correct answer ✔✔- No central agency
- Partial Access
- Imperfect Market
- Third party insurers/payers
- Power balancing
- Ligation risks
- High technology
- Continuum of services
- Quest for quality
No central agency - correct answer ✔✔- US is not administratively controlled by a department or an
agency of the government.
- US has a mainly private system of financing & delivery
, - hospitals play a big role
partial access - correct answer ✔✔Americans can access health care if they have:
- health insurance through their employers
- covered under a government health care program
- can afford to buy insurance with private funds
- able to pay for services privately
- can obtain charity or subsidized care
imperfect market - correct answer ✔✔relying on the doctor to tell us what we need; we usually do not
have the knowledge
-later billed for the service
Third-Party Insurers and Payers - correct answer ✔✔- insurance often functions as the intermediary
among those who finance, deliver, and receive health care
- the insurance intermediary does not have an incentive to be the patients advocate on either price or
quality
- patient is first party
- provider is second party
- intermediary is third party
•a wall of separation between financing and delivery
•quality of care is a secondary concern
litigation risks - correct answer ✔✔Practices may protect themselves form litigations and engage in
defensive medicine by prescribing additional diagnostic test, scheduling return check up visits, and
maintain copious documentation
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller kirus27. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now