ATI RN
Future Economic Needs of the US Healthcare System Questions
Question 1 of 5
Which best describes the health care services that are provided by philanthropic groups?
Correct Answer: C
Rationale: Philanthropic funding, whose services are typically research or disease oriented, pays a limited amount of health care. Services are limited to the specific disease or population of interest. Informational and research activities constitute the majority of services provided although some give direct care or meet ancillary needs such as housing, transportation, or wigs. Legislative lobbying and special services are not the primary health care services provided by philanthropic groups.
Question 2 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 3 of 5
Which best describes how providers can legally improve their profit under the current reimbursement process?
Correct Answer: D
Rationale: As a reward for conservative medical practices, health care providers may receive a specified amount of money or a percentage of the agreed reimbursement if services are delivered below the limit set by the third-party payer. Thus, it is the responsibility of the provider to use this conservative practice. Patient care should not be compromised as providers practice conservatively.
Question 4 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 5 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.