ATI RN
Future Economic Needs of the US Healthcare System Questions
Question 1 of 5
Which best describes how hospitals initially coped when Medicare reimbursement became based on diagnosis-related groups (DRGs)?
Correct Answer: A
Rationale: Hospitals developed cost shifting to supplement losses caused by Medicare funding. Because private insurance reimbursements were cost based, hospitals included the loss in their total costs; therefore private insurance paid for covering care to both their enrollees and Medicare patients. The implementation of DRGs did not cause hospitals to decrease nursing staff, lobby politicians to increase Medicare reimbursement, or refuse to accept Medicare patients.
Question 2 of 5
When was the idea of national health care insurance first debated in the United States?
Correct Answer: D
Rationale: European countries began a social model of health insurance in the early 1900s. President Theodore Roosevelt advocated a similar plan for the United States in 1916. The other attempts mentioned came after Theodore Roosevelt's initial attempt in 1916.
Question 3 of 5
Which best describes a carve-out service?
Correct Answer: A
Rationale: Carve-out services might be designated for those who need the services the least. A carve-out service (e.g., mental health care) is provided within a standard benefit package but delivered exclusively by a designated provider or group. The other definitions do not correctly describe a carve-out service.
Question 4 of 5
Which best describes the effects of Medicare and Medicaid? (Select one that does not apply)
Correct Answer: A
Rationale: The enactment of Medicare and Medicaid created an unprecedented demand for services, and many persons without access to health care were now able to receive care using an indemnity insurance plan. Medicare reimbursement rates generally became the standard for all insurance carriers. These plans did not provide services for the temporarily disabled or change financing for public health education.
Question 5 of 5
Which best describes the strengths of the American health care system? (Select all that apply.)
Correct Answer: A
Rationale: The United States leads the world in laboratory and clinical research. The United States also exceeds other industrialized countries in the availability and use of technological advances. We do not rank near the top in length of life or patient care outcomes although we spend far more on health care than other industrialized nations. We are just beginning to confront the issues of access and rationing.