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: Medicaid

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: B

Rationale: Medicaid is a joint federal and state program for low-income individuals, pregnant women, those with disabilities, and children.

Question 2 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 3 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 4 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 5 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.

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

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