Posted: March 1st, 2023

DEVRY HSM410 midterm exam

Question 1. Question
: (TCO 1) Which of the following
are potential health outcomes of the uninsured?

Unavoidable hospitalizations

Higher mortality rates

High rates of hypertension

All of the above (Answer located on pages
21-22 in textbook.)

Points Received: 5 of 5
Comments:

Question 2. Question
: (TCO 2) Which of the following
are stakeholders in healthcare policy?

Individuals, businesses, consumers, and
purchasers(Answer located on page 193 in textbook.)
Purchasers, medical suppliers, providers, and
businesses
Providers, hospitals, physicians, and
insurers

Points Received: 0 of 5
Comments:

Question 3. Question
: (TCO 3) Regressive payments
are ____________.

the ratio of payment to income that is the
same for all classes.
payments that take a falling percentage of
income as income increases. (Chapter 2, pg. 14.)
payments that take a rising percentage of
income as income increases.
a set fee regardless of income.

Points Received: 5 of 5
Comments:

Question 4. Question
: (TCO 4) Fee-for-service
reimbursement is different than the other units of payment for healthcare. This
statement is:

true because all other forms of reimbursement
group together several services into one payment. (Chapter 4, pg. 31.)
true because it is the oldest and simplest
form of reimbursement for care provided.
false because the Medicare/Medicaid systems
reimburse healthcare providers in the same method as fee for service.
false
because the per diem payment to hospitals method pays for services on an
“as-needed” basis.

Points Received: 5 of 5
Comments:

Question 5. Question
: (TCO 1) What is a category of
underinsurance?

Limits to insurance coverage

Gaps in Medicare coverage

Lack of coverage for long-term care services

All of the above (Chapter 3, pg. 23.)

Points Received: 5 of 5
Comments:

Question 6. Question
: (TCO 3) In the 1990s, the push
for cost containment changed how physicians and hospitals are paid. The
changes:

replaced fee-for-service payments with
prospective payment methods.
bundled services into one payment to shift
risk away from payers.
had payment be negotiated between providers
and payers.
All of the above (Chapter 4, pg. 40.)

Question 1. Question
: (TCO 2) For the last 25 years,
what has been the fundamental conflict between purchasers and the healthcare
industry?

Question 2. Question
: (TCO 4) List the methods of
hospital payment.

Question 3. Question
: (TCO 2) Does an HMO promote
the regionalized or dispersed model of care? How?

Question 4. Question
: (TCO 4) What is the concept of
patient cost sharing? Is it a painless form of cost control? For whom?

Question 5. Question
: (TCO 3) Why has cost
containment become such a focus of the American public? Give examples of
current cost containment measures commonly used.

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