PH 550: Answer The Following question from U.S Health Care System Fifth Edition by Leiyu Shi and Douglas Singh. Chapter 5,6,7,8,9,10
Chap: 5: Technology and Effects; chap: 6: Financing and Reimbursement; chap: 7: Outpatient Services and Primary care; chap:8: Hospitals; chap:9: Managed Care and Integrated Systems; chap:10:Long-Term Care Services
Name:
1. Electronic medical records utilize which type of information system?
2. What is the general term for the delivery of medical care when the provider and client are separated by distance?
3. What is meant by the term technological imperative?
4. Which federal agency has the authority to regulate biosimilars?
5. How can technology reduce health care costs?
6. What is Michael Mirowski famous for? Briefly provide a few interesting details about his life.
7. What is the purpose of a stop-loss provision in a health insurance plan?
8. What is self-insurance?
9. What experiment demonstrated that utilization could be lowered through cost sharing.
10. Define retrospective and prospective reimbursement methods and discuss how retrospective reimbursement contains perverse financial incentives?
11. What service care model emphasizes having a primary care physician as a usual source of care and emphasizes team-based care.
12. Explain the significance of gatekeeping in regards to primary care and keeping health care costs down.
13. Describe the role community health centers (CHCs) play in the health care system and at least one challenge CHCs face.
14. What initiative triggered the downsizing phase in the U.S. hospital industry during the 1980s?
15. DRG-based reimbursement necessitated hospitals to do what?
16. What is a critical access hospital? How are these hospitals reimbursed?
17. What is one aspect in which managed care differs from conventional insurance?
18. What system does CMS use as an overall measure of a health plan’s quality?
19. Precertification is associated with what type of utilization review?
20. Explain how the rise of HMOs and PPOs were used in a health care cost-reduction strategy.
21. What is the main goal of long-term care as it relates to a patient’s function?
22. Briefly describe the IADL scale.
23. A license to operate a long-term care facility is issued by…
24. Describe the three main types of nursing home certifications?
25. Name and describe one service offered at Lutheran Social Services.
