Chapter 2: Health-Care Delivery, Settings, and ECONOMICS

Question 1 of 5

Match the following Key Term(s) or italicized words from your text with the correct description: Third-party payer

A. The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditionsB. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirementsC. A system of health-care delivery aimed at managing the cost and quality of access to health careD. The insurance company that finances health care provided to a beneficiaryE. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and proceduresF. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by MedicareG. A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis

Correct Answer: D

Rationale: A third-party payer is the insurance company that covers the cost of health care for a beneficiary.

Question 2 of 5

Match the following Key Term(s) or italicized words from your text with the correct description: Point of service

A. The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditionsB. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirementsC. A system of health-care delivery aimed at managing the cost and quality of access to health careD. The insurance company that finances health care provided to a beneficiaryE. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and proceduresF. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by MedicareG. A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis

Correct Answer: F

Rationale: A POS plan allows patients to choose providers in or out of network with a primary care physician as gatekeeper.

Question 3 of 5

Match the following Key Term(s) or italicized words from your text with the correct description: Primary care physician

A. The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditionsB. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirementsC. A system of health-care delivery aimed at managing the cost and quality of access to health careD. The insurance company that finances health care provided to a beneficiaryE. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and proceduresF. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by MedicareG. The gatekeeper for access to medical services

Correct Answer: G

Rationale: The primary care physician controls access to medical services as a gatekeeper.

Question 4 of 5

Fill in the blank with the correct Key Term(s) or italicized words from your text: When a person stays overnight or longer in a healthcare facility, he or she is referred to as a(n)

A. InpatientB. OutpatientC. ResidentD. Client

Correct Answer: A

Rationale: An inpatient is someone who stays overnight or longer in a healthcare facility.

Question 5 of 5

Fill in the blank with the correct Key Term(s) or italicized words from your text: ___ can be one or many types of health or medical services provided to patients in their home because they are confined to their home by an illness or disability.

A. Hospice careB. Home health careC. Rehabilitation careD. Skilled nursing care

Correct Answer: B

Rationale: Home health care provides medical services to patients confined to their homes.

Chapter 2: Health-Care Delivery, Settings, and ECONOMICS - Nurselytic

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