ATI RN
Health Care Delivery in the United States Questions
Question 1 of 5
All the following statements about the resource-based Relative Value Scale (RVS) are correct EXCEPT
Correct Answer: A
Rationale: The RVS aims to adjust physician reimbursement, not hospital reimbursement (A is incorrect). It increases primary care payments (B), decreases surgical payments (C), aligns somewhat with Canadian models (D), and encourages more patient time (E).
Question 2 of 5
Principal findings of the United States Preventive Services (USPS) Task Force include all the following EXCEPT
Correct Answer: D
Rationale: The USPS Task Force recommends tailored screening based on risk, not uniform application (E is the exception). All other findings align with its reports.
Question 3 of 5
What percentage of total expenditures for health care in the U.S. is paid by private health insurance?
Correct Answer: B
Rationale: Historically, private health insurance covered about 32% of U.S. health expenditures in the late 1980s, aligning with data from that period.
Question 4 of 5
Payments for personal health expenditures can be grouped into two categories: (1) direct payments, made out-of-pocket by the individual; and (2) third-party payments, made by insurance companies, government-sponsored programs, or philanthropic agencies. True statements concerning sources of payment of personal health expenditures in the United States include which of the following?
Correct Answer: A
Rationale: Government payments have significantly increased since 1940 due to programs like Medicare and Medicaid (A is correct). Direct payments were less than 50% by the 1980s (B is incorrect), insurance payments grew (C is incorrect), and Blue Cross didn’t cover over half (D is incorrect).
Question 5 of 5
Health care expenditures in the United States have increased from $12.7 billion in 1950 to $539.9 billion in 1988. About what proportion of the gross national product was spent on health care in 1988?
Correct Answer: C
Rationale: In 1988, health care spending was approximately 11% of the U.S. GNP, reflecting significant growth in health costs.