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Allied Health
Unit 3 Review
| Term | Definition |
|---|---|
| What was the name of the first hospital established in the United States in 1751? | Massachusetts General Hospital |
| What type of nonprofit health insurance plans were created in the 1930s to help cover hospital services? | Blue Cross plans |
| In what year were Medicare and Medicaid created? | 1965 |
| Which 1945 law reaffirmed the states' authority to regulate and tax insurance? | McCarran-Ferguson Act |
| Which federal law protects many privately insured patients from unexpected out-of-network medical bills? | No Surprises Act |
| How is the U.S. healthcare financing system best characterized? | Multi-payer system |
| What was the leading cause of death in the United States in 2024? | Heart disease |
| What was the approximate U.S. infant mortality rate in 2024? | 5.5 deaths per 1,000 live births |
| Which of the following is NOT one of the five major Social Determinants of Health areas identified by Healthy People 2030? | Technological innovation |
| According to the American Hospital Association, how many beds must a hospital have at minimum to meet its definition? | Six beds |
| Which facilities are not considered community hospitals under the AHA definition? | Prison hospitals and college infirmaries |
| What is the maximum number of inpatient beds allowed in a Critical Access Hospital? | 25 beds |
| What type of hospital serves an isolated community that is more than 35 miles from another similar hospital? | Sole Community Hospital |
| What are the two major categories of uncompensated hospital care? | Bad debt and charity care |
| Which healthcare professionals commonly staff retail or convenient-care clinics? | Nurse practitioners and physician assistants |
| Approximately how many ambulatory surgical centers served fee-for-service Medicare patients in 2024? | 6,400 |
| What is a common characteristic of urgent care centers? | On-site laboratory and radiology services with extended hours |
| How much therapy is generally required for Medicare coverage in an inpatient rehabilitation facility? | Three hours per day, at least five days per week |
| What is the main difference between adverse selection and moral hazard in health insurance? | Adverse selection involves hidden information before insurance is purchased |
| Which type of health insurance plan generally does not cover out-of-network care except for emergencies and does not require referrals? | EPO |
| Which HMO arrangement directly employs physicians and pays them a salary? | Staff model |
| What happens after a patient reaches the maximum out-of-pocket amount for covered in-network services? | The health plan pays the full cost of covered in-network benefits for the remainder of the plan year |
| Approximately what percentage of workers had employer-sponsored health coverage in 2025? | 55% |
| What historical event helped lead to the growth of family coverage through employer-sponsored insurance? | The 1949 Supreme Court ruling allowing benefits in labor negotiations |
| How long must most people under age 65 receive SSDI benefits before becoming eligible for Medicare? | 24 months |
| How are hospitals generally reimbursed under Medicare's Inpatient Prospective Payment System? | They receive a predetermined payment based on the assigned MS-DRG |
| What does the term population health refer to? | The health outcomes of a group and the distribution of those outcomes within the group |
| How many core objectives are included in Healthy People 2030? | 355 |
| What are the three components of the Triple Aim? | Patient experience of care, population health, and per capita cost |
| How did the Institute of Medicine define healthcare access? | The timely use of personal health services to achieve the best possible health outcomes |
| Why may Medicaid patients have difficulty finding healthcare providers? | Fewer physicians accept Medicaid because of lower reimbursement rates |
| What percentage of U.S. adults had limited health literacy according to the 2003 National Assessment of Adult Literacy? | More than one-third |
| Approximately how many defects per million opportunities is associated with Six Sigma quality? | 3.4 defects per million opportunities |
| Which Medicare program is designed to reduce preventable hospital readmissions by improving care coordination and discharge planning? | Hospital Readmission Reduction Program |
| What is one major goal of the Affordable Care Act? | Expand Medicaid eligibility to nearly all adults with incomes up to 138% of the federal poverty level in participating states |
| Which Supreme Court decision made Medicaid expansion under the Affordable Care Act optional for states? | The 2012 Supreme Court decision |
| What percentage of premium revenue must insurers generally spend on clinical services and quality improvement under the ACA's medical loss ratio requirements? | 80% or 85%, depending on the market |
| Approximately how many consumers selected or were automatically enrolled in Marketplace plans for 2026? | 23.1 million |
| What did the Medicare Coordinated Care Demonstration find regarding its care-coordination models? | Some quality improvement occurred, but savings were not demonstrated |
| Which law created the Medicare Shared Savings Program? | The Affordable Care Act of 2010 |
| What is the LEAD Model? | A voluntary 10-year accountable-care model scheduled to begin January 1, 2027 |
| What are hospitals participating in TEAM held accountable for? | Five types of surgical episodes through 30 days after the patient leaves the hospital |
| What does the term mHealth mean? | A component of eHealth that uses mobile and wireless technologies |
| What system allows healthcare providers to electronically enter medication, laboratory, and imaging orders? | Computerized Provider Order Entry (CPOE) |
| What is the primary purpose of TEFCA? | To help health information networks securely exchange electronic health information nationwide |
| What term describes practices that prevent or interfere with the proper access, exchange, or use of electronic health information? | Information blocking |
| Which organization pioneered the use of telemetry and telemedicine technologies to monitor astronauts? | NASA |
| What type of telehealth communication involves collecting information and reviewing it at a later time rather than communicating in real time? | Asynchronous communication |
| What agreement is generally required before a business associate can handle protected health information for a covered healthcare organization? | A written Business Associate Agreement (BAA) |
| Who must generally be notified when a HIPAA-covered entity experiences a reportable breach of protected health information? | Affected individuals and the Department of Health and Human Services (HHS) |
Created by:
PJohnson85