Lack of health insurance has become a middle class phenomenon among all except.

Those with traditional jobs in manufacturing

Those working in small businesses

Those with traditional jobs in manufacturing

The mode of payment that is considered to be regressive is.

Employment-based group private insurance.

Community rating is able to redistribute funds from the healthy to the sick by.

Providing benefits in excess of premiums to those who become ill.

Setting premiums based on community experience, rather than that of subgroups.

Charging the same premium for high-risk and low-risk populations.

Which of the following is true of experience rating?

Young, healthier groups have cheaper premiums.

High risk patients pay relatively low premiums.

It provides affordable coverage to the chronically ill.

Young, healthier groups have cheaper premiums.

The elderly have among the lowest premiums.

The mode of payment that is considered to be proportional is.

Employment-based group private insurance

Access to health care is measured by.

The number of times a person uses health care services.

The type of insurance a person has.

The number of times a person uses health care services.

The quality of health care services a person has.

The number of physicians available to a person.

Private health insurance coverage has decreased over the past decades because of.

The rising cost of health care.

An increase in non-unionized jobs

A shift from manufacturing jobs to service industry jobs

The major form(s) of managed care organizations are:

Fee-for-service with utilization review

Preferred provide organizations (PPOs)

Health maintenance organizations (HMOs)

The form of payment that is based specifically on the individual components of health care is.

Reimbursement by episode of illness.

Surgeons usually receive a single payment for the surgery and postoperative care. This bundling, or payment per episode, gives surgeons an economic incentive to.

Increase the number of surgeries and limit the number of post operative visits.

Limit both the number of surgeries they perform and the number of post operative visits they make.

Increase both the number of surgeries and the number of post operative visits.

Limit the number of surgeries and increase the number of post operative visits.

Increase the number of surgeries and limit the number of post operative visits.

Which of the following best describes the incentives associated with capitation?

Physicians have a higher incentive to sign up only healthy patients.

Physicians have more flexibility to deliver effective and efficient services to patients.

It only pays for an in-person visit with a physician.

Diagnosis-Related Groups (DRGs) lumps together all services performed during a hospital episode.Under the DRG system, which is/are true?

Medicare is at risk for the number of admissions.

The hospital is at risk for the number of admissions.

The hospital is at risk for the length of stay.

A generalist care coordinator can advocate on behalf of his/her patients to integrate services from multiple providers. Besides caring for the whole person, an advantage(s) of care coordination include:

Avoiding the duplication of services

Prohibiting the use of all specialist services

As a result of the Dispersed Model of health care used in the U.S., the hospital structure resembles a diamond, with.

The bulk of the hospitals in the middle, providing a wide range of secondary and tertiary services.

A small number of hospitals at the top, which lack specialized units.

The bulk of the hospitals in the middle, which lack specialized units.

A small number of hospitals at the base, which provide highly super specialized referral services.

In addition to first contact care, the key task(s) of primary care include.

Longitudinality, or following a patient over time

Critics of the United States health care system find fault with all of the following EXCEPT:

its over reliance on primary care

its lack of organizational coherence

its over reliance on primary care

Vertical integration refers to an organization model that under one ownership.

Contains all levels of care, from primary to tertiary

Provides the necessary staff for this full spectrum of care

Provides the necessary facility for all levels of care

The inclusion of network-model HMOs in the Health Maintenance Act of 1973 ensured.

the HMO movement would not create rapid change to the mode of health care delivery

no economic risk among both physicians and HMOs

Network forms of managed care organization have been referred to as "virtual integration" because.

The network is based on contractual relationships.

The network is under one ownership.

The network includes hospitals and pharmacies, but not home health agencies.

The network is based on contractual relationships.

Integrated medical groups differ from IPAs in that.

Physicians become employees of an organization that owns the practice

Physicians own their practices and office assets.

Physicians become employees of an organization that owns the practice

The traditional dispersed model of independent private physicians working as solo practitioners or in small groups is in competition with.

Large "corporate" group practice organizations and networks

All of the following were a result of the Flexner Report in 1910 EXCEPT.

Homeopathic schools sanctioned homeopaths as "physicians"

Academic standards of medical schools became much more rigorous

Homeopathic schools sanctioned homeopaths as "physicians"

Only schools meeting the standards of LCME were able to award MD degrees

The Physician Assistant (PA) profession was developed in order to.

Function alongside a physician without having to complete the many years of medical education and residency

Replace the overly-paid physician role

Perform the few roles broadly skilled physicians are not licensed to perform

The dramatic increase in the number of physicians since the 1970s is largely due to.

The increase of non-primary care specialists

The decrease in strenuous licensing requirements

The shortage of Physician Assistants

The increase of non-primary care specialists

The adequacy of the health profession workforce (ie. supply and demand) can be determined by.

Market demand of health professions

Population need of health professions

Neither A nor B are determinants

As health care resources increase:

Outcomes improve and then level off.

Outcomes initially improve and then deteriorate.

Outcomes improve and then level off.

A medical intervention lying on a steeper portion of the aggregate cost-benefit curve indicates a major benefit for a relatively modest cost. An example of such an intervention would be:

care for an anencephalic infant.

purchasing MRI scanners to supplement CT scanners.

Which is not an underlying assumption of a theoretical model of costs and health outcomes?

It is impossible to reduce cost without also reducing health outcomes.

The relevant outcome is the overall health of a population rather than of an individual.

It is possible to quantify health at a population level.

It is necessary to focus on health outcomes, those aspects of health status directly under the influence of health care.

It is impossible to reduce cost without also reducing health outcomes.

Price inflation has been a major contributor to the rise of health care costs in the recent decades.This inflation has been due to:

Prices of health care rising more rapidly than prices in the overall economy.

An increase in the quantities of health care utilized relative to increases in the overall quantity of goods and services.

Factors other than price or quantity of health care.

Which is not a "painless" cost control strategy?

Use of cost-effective analysis to limit care

Reduction of administrative waste

Use of cost-effective analysis to limit care

Elimination of inappropriate care

Elimination of ineffective care

The competitive approach to health insurance financing is aimed to.

Encourage businesses to be more aggressive when negotiating premiums

Make employees more cost-aware by limiting the amount of the premium that the employer will pay

Encourage employers to offer a fixed amount of insurance subsidy and compel employees who select more costly plans to pay the extra amount

The intent of patient cost sharing at the point of receiving health care services is to.

Discourage the overuse of services among patients.

Discourage physicians from overcharging patients.

Encourage patients to utilize more health care services.

Encourage physicians to provide more effective health care services.

ISC HCISPP Practice Test 4 - Free Online Exam Prep & Questions

Some people receive too little health care because.

They are uninsured

They are inadequately insured

Physicians will not accept their Medicare coverage

All of the above.

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