Question: Avedis Donabedian defined health care quality as having which of the following components?

Answer Options:
A. The ethical principles that govern the conduct of affairs in general and the health care enterprise in particular
B. The social management of health and illness
C. The quality of the caring education
D. The amenities of care

Answer: A. The ethical principles that govern the conduct of affairs in general and the health care enterprise in particular

Question: Conventional indemnity health insurance plans, whereby an insured individual pays for services and is later reimbursed by the insurer, were the most common type of health insurance coverage in 2018.

Answer Options:
True
False

Answer: False

Question: True or False? Funding for the Medicare Program has increasingly been derived from cost sharing with beneficiaries.

True
False

Answer: True

Question: The growth in health insurance in the U.S. came about as a result of all of the following, except:

Answer Options:
A. the rising cost of health care.
B. the increased government role in providing access to care.
C. the urging of employers to add this benefit.
D. the involvement of unions and collective bargaining.

Answer: C. the involvement of unions and collective bargaining.

Question: True or False? Major medical health insurance coverage typically includes hospital coverage as well as related physician services.

Answer Options:
True
False

Answer: True

Question: True or False? Elderly and disabled Medicaid beneficiaries account for less than half of program spending.

Answer Options:
True
False

Answer: False

Question: True or False? Medicaid and Medicare are private insurance programs administered by the federal government.

Answer Options:
True
False

Answer: False

Question: Which of the following laws has had a major impact on social insurance in the U.S.?

Answer Options:
A. Social Security Act of 1965.
B. Patient Protection and Affordable Care Act.
C. Medicare Prescription Drug, Improvement, and Modernization Act.
D. All of these are correct.
E. None of these is correct.

Answer: D. All of these are correct.

Question: CHIP is a program that provides health care for:

Answer Options:
A. children covered by Medicaid.
B. children covered by Medicare.
C. children in low-income families who would not typically qualify under Medicaid.
D. all children.

Answer: C. children in low-income families who would not typically qualify under Medicaid.

Question: Today, health insurance is typically purchased by individuals to prevent catastrophic loss.

Answer Options:
True
False

Answer: False

Question: In purchasing health insurance, which of the following is not typically a consideration?

Answer Options:
A. Ethical issues
B. Provider choice
C. Benefit packages
D. Coinsurance

Answer: A. Ethical issues

Question: Ideally, who should provide input in the development of the strategic plan?

Answer Options:
A. Physicians and other providers.
B. Volunteers.
C. Senior management.
D. All of these are correct.
E. Physicians, other providers, and senior management.

Answer: D. All of these are correct.

Question: Which type of HMO offers the most flexibility for participating physicians?

Answer Options:
A. Closed-panel HMO.
B. Group-model HMO.
C. Independent Practice Association.
D. Open-panel HMO.

Answer: C. Independent Practice Association.

Question: True or False? Enrollment in Medicare has increased significantly as a result of the Affordable Care Act.

True
False

Answer: False