Chapter 13 example #23566

16. In the third-party payment system, the patient is the A. first party B. second party C. third party D. service

17. In the third-party payment system, the provider is the A. first party B. second party C. third party D. none of the above

23. A written agreement between a private insurance company and an individual or group of individuals to pay for certain health care costs during a certain time period in return for regular, periodic payments is a health insurance A. policy B. co-insurance C. copayment D. deductible

18. Managed care is a system of health care delivery that focuses on A. efficiency B. control over utilization C. the price of services D. all of the above

9. The type of health care practice that incorporates interventions aimed at disease prevention and health promotion is A. population-based public health practice B. medical practice C. long-term practice D. end-of-life practice

20. Restorative care is a component of A. population-based public health practice B. medical practice C. long-term practice D. end-of-life practice

24. A negotiated set amount that a patient pays for certain services is a A. premium B. copayment C. fixed indemnity D. deductible

21. An example of an allied health care professional is a A. physician B. nurse C. dietician D. naturopath

22. Those lacking the financial ability to pay for their own medical care are referred to as A. the working poor B. medically indigent C. exclusions D. CHIP recipients

25. The amount of expenses that the beneficiary must incur before the insurance company begins to pay for covered services is the A. deductible B. copayment C. exclusion D. fixed indemnity

26. Medicare is available to those A. 60 years and older B. with permanent liver failure C. with certain disabilities D. none of the above

27. The part of Medicare that is the hospital insurance portion is A. Part A B. Part B C. Part C D. Part D

28. The part of Medicare that is prescription drug coverage is A. Part A B. Part B C. Part C D. Part D

29. The government insurance program that specifically targets low-income children who are ineligible for other insurance coverage is A. Medicaid B. CHIP C. Medicare D. Affordable Care Act

30. The type of managed care that buys fixed-rate health services from providers and sells them to consumers is A. EPOs B. HMOs C. PPOs D. IPAs

Managed care is a system of health care delivery that focuses on

Medicare is available to those:

Restorative care is a component of:

The amount of expenses that the beneficiary must incur before the insurance company begins to pay for covered services is the:

The government insurance program that specifically targets low-income children who are ineligible for other insurance coverage is:

The part of Medicare that is prescription drug coverage is:

The part of Medicare that is the hospital insurance portion is:

The type of health care practice that incorporates interventions aimed at disease prevention and health promotion is:

True or False? A clinic is a facility in which two or more physicians practice as a group.

True or False? Chiropractors are the most often used nonallopathic providers.

True or False? Health care delivery in the United States is very similar to other developed countries.

True or False? Health care workers who have the specialized education and legal authority to treat any health problem or disease are independent providers.

True or False? Laboratory technicians are considered to be allied health care professionals.

True or False? Nurses are an example of limited care providers.

True or False? Of employed registered nurses, the largest majority work in offices of physicians.

True or False? Public hospitals are often found in small, rural communities.

True or False? Self-care has been used historically in America, and is still used today.

True or False? The Hill-Burton Act provided substantial funds for medical education.

True or False? The internship year is the second year of a medical residency program.

True or False? The Joint Commission is the predominant organization responsible for accrediting health care facilities.

True or False? The largest amount of all health care workers today are employed in nursing/residential facilities.

True or False? The major determinants of access to health care in the United States are insurance coverage and the generosity of that coverage.

True or False? The spectrum of health care delivery refers to the various types of care.