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HSC 3111 Health Services Administration Discussion Paper

HSC 3111 Health Services Administration Discussion Paper

Answer the following questions from chapters 1, 2, 4 and 5.Review QuestionsCHAPTER 1: Understanding Health Systems: The Organization of Health Care in the United StatesDescribe the significant trends in the evolution of health care services in the United States over the past 100 years.How has the role of government changed in the U.S. health care system, and what future trends in government involvement do you anticipate?Describe the differences in health care systems for the middle class, the poor, and the military.How is health affected by behaviors, economics, and social structure?Describe your view of the role of health care services in the nation’s success and survival as a coherent democracy. CHAPTER 2: Technology in the U.S. Health Care SystemList the different classifications of health care technology (by industrial group).Why is it important to understand that medical technology is a collection of specific subgroupings? Briefly describe the stages of medical technology development.Describe the four phases of clinical testing in humans.Discuss the technological assessment process carried out by health insurance plans.How has medical technology affected clinicians and organizations?
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Running head: Assignment 1
I- Answer The following question base in this chapter:
Review Questions
CHAPTER 1:Understanding Health Systems: The Organization of Health Care in
the United States
1. Describe the significant trends in the evolution of health care services in the United States
over the past 100 years.
2. How has the role of government changed in the U.S. health care system, and what future
trends in government involvement do you anticipate?
3. Describe the differences in health care systems for the middle class, the poor, and the
military.
4. How is health affected by behaviors, economics, and social structure?
5. Describe your view of the role of health care services in the nation’s success and survival
as a coherent democracy.
CHAPTER 2:Technology in the U.S. Health Care System
1. List the different classifications of health care technology (by industrial group).
2. Why is it important to understand that medical technology is a collection of specific
subgroupings?
3. Briefly describe the stages of medical technology development.
4. Describe the four phases of clinical testing in humans.
5. Discuss the technological assessment process carried out by health insurance plans.
6. How has medical technology affected clinicians and organizations?
Introduction to Health Services
Professor Miguel Figueroa
Assignment #2
Review Questions- please answer all questions in complete
sentences.
CHAPTER 4: Financing Health Systems
1. Describe the size of the U.S. health care industry in financial terms, and discuss the
growth in health care expenditures.
2. Describe the flow of finance in health care in the United States, referring specifically
to payment sources and outlays for health care services.
3. Describe the three main types of health insurance in the United States, referring
specifically to voluntary health insurance, social health insurance, and welfare
medicine.
4. Briefly describe Medicare Parts A, B, C, and D.
5. Briefly describe the Medicaid program.
6. Discuss the methods of physician reimbursement in the United States.
7. Provide an overview of the prospective payment system.
8. Describe the resource-based relative-value scale payment method.
CHAPTER 5: Private Health Insurance and Managed Care
1. What is insurance, and why is it used?
2. How does private health insurance violate the standard principles of insurance?
3. Describe the three methods for categorizing health insurance in the United States.
4. Briefly describe the differences among commercial insurance industry, the Blues, and
HMOs.
5. What is managed care? List the main objectives of managed care.
6. Briefly describe PPO and HMO plans.
7. List the common managed-care practices designed to influence physician behavior.
8. Describe the role of the gatekeeper.
9. Describe the impact of managed care on both the Medicare and Medicaid programs.
10. Discuss the conflict of interest inherent in managed care.
11. Briefly describe the characteristics of the uninsured population in the United States.
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