Dynamics: Chapter 19

16 Questions | Attempts: 244
Share

SettingsSettingsSettings
Dynamics Quizzes & Trivia

Delaet: Dynamics of Health Care In Society: Health care economics


Questions and Answers
  • 1. 

    Medicare, Medicaid, and TRICARE are all

    • A.

      Private insurance plans

    • B.

      Managed care plans

    • C.

      Government plans

    • D.

      Direct payment plans

    Correct Answer
    C. Government plans
    Explanation
    Medicare and Medicaid resulted from the Social Security Act, TRICARE is for military and their families

    Rate this question:

  • 2. 

    The monthly amount paid to a private insurance company for health insurancecoverage.

    • A.

      Deductible

    • B.

      Premium

    • C.

      Co-insurance

    • D.

      Co-pay

    Correct Answer
    B. Premium
    Explanation
    Companies pay a bulk of the insurance cost .

    Rate this question:

  • 3. 

    A flat fee paid by the patient directly to the service provider each time the patientreceives a health care service

    • A.

      Deductible

    • B.

      Premium

    • C.

      Co-pay

    • D.

      Co-insurance

    Correct Answer
    C. Co-pay
    Explanation
    The insured pays a fixed fee for each date of service.

    Rate this question:

  • 4. 

    People use this type of payment when their insurance doesn’t cover all health carecosts, when they don’t have health insurance, or when they don’t qualify for agovernment plan.

    • A.

      Prospective payment

    • B.

      Direct payment

    • C.

      Payroll deduction

    • D.

      Co-insurance

    Correct Answer
    B. Direct payment
    Explanation
    The uninsured person makes the payment for services directly to the provider.

    Rate this question:

  • 5. 

    The money a patient must pay before an insurance policy provides benefits.

    • A.

      Premium

    • B.

      Co-pay

    • C.

      Deductible

    • D.

      Co-insurance

    Correct Answer
    C. Deductible
    Explanation
    Deductibles depend on the type of insurance one purchases. It can be $500.00-$5,000.00.

    Rate this question:

  • 6. 

    The government program that provides health insurance for low-income anddisabled people is known as

    • A.

      Medicare

    • B.

      Medicaid

    • C.

      Social Security

    • D.

      Disability

    Correct Answer
    B. Medicaid
  • 7. 

    The federally-funded health care program designed for older Americans is called

    • A.

      Medicare

    • B.

      Medicaid

    • C.

      Social Security

    • D.

      Welfare

    Correct Answer
    A. Medicare
  • 8. 

    A ______________ system provides coverage for health care through a select groupof providers, with predetermined rates for services.

    • A.

      Prospective payment

    • B.

      Health maintenance

    • C.

      Managed care

    • D.

      Government health

    Correct Answer
    C. Managed care
  • 9. 

    In return for federal, state, and local tax exemptions, ____________________________institutions must provide community benefits.

    • A.

      Proprietary

    • B.

      Government

    • C.

      For profit

    • D.

      Voluntary nonprofit

    Correct Answer
    D. Voluntary nonprofit
  • 10. 

    The system used by Medicare and Medicaid to determine payment for healthservices based on diagnosis is the _______________________ classification system.

    • A.

      Health maintenance

    • B.

      Fee for service

    • C.

      Diagnostic related group

    • D.

      Prospective

    Correct Answer
    C. Diagnostic related group
  • 11. 

    A/An _______________________provider is a physician under contract to provide services according to the terms of a managed care plan.

    • A.

      Gatekeeper

    • B.

      Primary care

    • C.

      In-network

    • D.

      Prospective care

    Correct Answer
    C. In-network
  • 12. 

    The term _______________________ is used to describe physicians participating in managed care plans who provide primary care services and referrals to specialists.

    • A.

      Primary doctor

    • B.

      Gatekeeper

    • C.

      Managed care leader

    • D.

      In-network provider

    Correct Answer
    A. Primary doctor
  • 13. 

    The process used by managed care plans to review care made by physicians and other health care providers is known as ________________________ review.

    • A.

      Quality care

    • B.

      In-network

    • C.

      Quality assurance

    • D.

      Utilization

    Correct Answer
    D. Utilization
  • 14. 

    A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ allows patients to meet high deductibles with tax-free income and lets leftover funds be saved for future use.

    • A.

      Flexible spending account

    • B.

      Deductible

    • C.

      Health savings account

    • D.

      Co insurance

    Correct Answer
    C. Health savings account
  • 15. 

    One of the primary factors contributing to the high cost of health care is an _______________ population.

    • A.

      Immigrant

    • B.

      Aging

    • C.

      Obese

    • D.

      Unhealthy

    Correct Answer
    B. Aging
  • 16. 

    Managed care plans place emphasis on ______________________ care.

    • A.

      Primary

    • B.

      Therapeutic

    • C.

      Prophylactic

    • D.

      Preventative

    Correct Answer
    D. Preventative

Quiz Review Timeline +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • May 09, 2017
    Quiz Edited by
    ProProfs Editorial Team
  • Apr 24, 2017
    Quiz Created by
    Mildred Fritz

Related Topics

Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.