New Dimensions In Womens Health Chapter 2

Front 1

Which of the following participants shape the direction of health care in the US

Back 1

All of the above: Physicians, Patients, Hospitals, Insurers

Front 2

In a third-party health care system, the consumer ________________.

Back 2

does not pay directly for health care.

Front 3

Managed care was introduced as a method to __________________.

Back 3

control health care costs.

Front 4

The emphasis on managed health care in the United States in the 1990s did which of the following?

Back 4

Slowed but did not stop the growth in health care spending.

Front 5

Which of the following is NOT a type of Managed Care Plan?

Back 5

Provider Maintenance Organization

Front 6

Which of the following statements about Preferred Provider Organizations (PPOs) is NOT true?

Back 6

They have traditionally been associated with Medicaid and Medicare.

Front 7

Martha participates in an HMO. When she visits her general practitioner for routine check-ups or to receive medical care, she only pays $15 per visit. This payment is called a _____________________.

Back 7

co-payment

Front 8

Together, which of the two following categories accounted for more than half of all health care expenditures in 2006?

Back 8

Hospital care, and physician and clinical services

Front 9

Generic drugs are ______________________________.

Back 9

A&B: the chemical equivalent of brand-name drugs & less costly than brand-name drugs.

Front 10

Medicare and Medicaid are examples of ___________________.

Back 10

public health insurance programs.

Front 11

Compared to Americans who have health insurance, uninsured Americans are more likely to be ______________.

Back 11

in poor health.

Front 12

The SCHIP is an effort to:

Back 12

address the health care needs of children who lack health insurance.

Front 13

In 2006, the average life expectancy was ____ years.

Back 13

78 years

Front 14

The average American woman lives _____ years longer than the average American man.

Back 14

6 years

Front 15

Medicare covers what percentage of health care costs for Americans over 65?

Back 15

80%

Front 16

A health insurance plan with a very limited _______ might require a subscriber to visit a specified doctor rather than a doctor of the subscriber's choosing.

Back 16

Network

Front 17

A benefit cap on a health insurance policy would be of the most concern to:

Back 17

A 49-year-old man with a chronic liver condition requiring extensive hospital treatment

Front 18

Why are many private health insurance companies reluctant to cover individuals who do not already have health insurance through their employers or the government?

Back 18

They fear being overburdened with a sick, unhealthy population that will require a great deal of medical care.

Front 19

True or false? Most Americans who have health insurance are covered by public forms of insurance.

Back 19

False

Front 20

True or false? For the past 50 years, health care costs have risen steadily at the same rate as inflation.

Back 20

False

Front 21

True or false? When HMOs shortened the discharge period for delivering mothers to 24 hours from 48 hours, newborn visits to emergency rooms and hospital readmissions stayed similar to their early levels.

Back 21

True

Front 22

True or false? In general, people who have managed-care forms of health insurance must receive health care from certain providers and have access to care only when specific criteria are met.

Back 22

True

Front 23

True or false? Medicare is the largest single health insurance provider in the United States

Back 23

True

Front 24

True or false? Americans who do not have health insurance are more likely to die prematurely than Americans who have health insurance coverage.

Back 24

True

Front 25

True or false? A system of universal health insurance could save overall health care spending by encouraging people with low incomes to avoid delaying treatment.

Back 25

True

Front 26

True or false? The majority of residents in long-term care facilities are women.

Back 26

True

Front 27

True or false? A health insurer may require prior authorization before a participant in the plan can receive emergency care.

Back 27

True

Front 28

Managed Care benefits?

Back 28

Services such as mammograms and Pap smear screenings. --> Can lead to it being treated earlier --> Aka its cheeper

Front 29

Discuss three factors a consumer should consider when choosing among various managed health insurance plans.

Back 29

Cost, Coverage, and if Physician is involved

Front 30

What is the difference between a health insurance co-payment and a deductible?

Back 30

A deductible is the amount of money the consumer pays before the health insurer begins to cover the consumer's medical costs. A co-payment is a set amount of money that the consumer pays every time he or she uses a specific health care service or product.