The FDA ensures the safety of all of the following EXCEPT:

food including meat and poultry

A factor affecting rising costs of drugs includes:

inability of medicare to negotiate prices

Which DUR definition is INCORRECT?

concurrent- monitoring drug interactions when taking 2 or more meds

State governments are responsible for all of the following EXCEPT:

administration of medicare program

Which is FALSE of CHIP?

for children who's family income is below medicaid threshold levels

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hcds exam 2

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Questions 98

Answers

1
Mission: to improve access to healthcare services for people who are uninsured, isolated, or medically vulnerable
CMS
FDA
NIH
HRSA
2
Voluntary setting of care in which patients receive chronic treatment for all severities of symptoms
inpatient
outpatient
forensic
3
Birthplace of the US Pharmaceutical Industry
Philadelphia
Boston
Cleveland
DC
4
Which of the following is a DIRECT cost of mental illness?
incarceration
medications
homelessness
medical complications
5
A specified amount that is paid every time a service is received
deductible
co-payment
co-insurance
premium
6
Medicaid recipients are never required to pay copays or decuctibles
False
True
7
Right to try act allows terminally ill patients to try experimental drugs that pass Phase 1 but are not FDA approved
False
True
8
The largest integrated health care system in the US
Cleveland Clinic
Department of Veterans Affairs
US Public Health Service
Department of Defense
9
Practice of beginning drug therapy with the safest, cheapest drug (first line therapy) & progressing when necessary
prior authorization
quantity limits
step therapy
10
Oversees 340B drug program
CDC
HRSA
CMS
FDA
11
Approval of a drug based on change to a "surrogate endpoint"
EUA
fast track
accelerated approval
breakthrough therapy
12
Advisory committee made of healthcare professionals who manage and update a formulary
DUR
PBM
MTM
P&T Committee
13
Insurance does not completely remove the risk of loss, but transfers part of the risk to the insurance company
False
True
14
Skilled nursing care that follows at least a 3-day hospitalization is covered under which part of Medicare?
C
D
B
A
15
The FDA ensures the safety of all of the following EXCEPT:
radiology equipment
human and veterinary drugs
e-cigarettes
food including meat and poultry
16
The primary criteria to become eligible for Medicaid is:
medical necessity
financial status
age
family emergency
17
An elimination period decreases adverse selection by not covering preexisting conditons for a certain time period
False
True
18
Which is NOT a form of utilization management?
prior authorization
quantity limits
medication therapy management
step therapy
19
Which of the following is a HHS division that is part of the public health service?
national institutes of health
administration for children and families
centers for medicare and medicaid
administration for community living
20
Who is the Surgeon General?
Rochelle Walensky
Robert Califf
Bruce Vanderhoof
Vivek Murthy
21
Practice of developing/applying evidence-based medication use strategies to enhance health outcomes & optimize resources
pharmaceutical industry
P & T committee
PBM
managed care pharmacy
22
Human organ, bone marrow, and cord blood donation is overseen by:
NIH
HRSA
FDA
IHS
23
Reimbursement of expenses to the beneficiary directly, rather than payment to providers
adverse selection
indemnity insurance
actuarial analysis
service benefit insurance
24
All of the following are reasons that someone under age 65 would pay no premium for Medicare Part A EXCEPT:
receiving disability from SS
having cancer
having ESRD
having ALS
25
A drug approved via an EUA still must undergo full FDA approval at a later date
True
False
26
Must be submitted to the FDA at least 30 days prior to the start of clinical testing
NIH
IND
NDA
sNDA
27
"Impairments in one's ability to function as a result of a dysfunction in a persons mood, thoughts, and behaviors"
mental illness
mental health
28
Approval of drug to treat a serious condition (ex: cancer) that has proven to cause better outcomes vs current treatment
fast track
breakthrough therapy
accelerated approval
priority review
29
Which is FALSE of Medicare Part D?
involves prescription drug benefit
is a voluntary program
varies in what medications are covered
requires no monthly premium
30
A factor affecting rising costs of drugs includes:
inability of medicare to negotiate prices
short patent lengths
high competition
large markets
31
Which acronym is paired INCORRECTLY?
CMS- central medicaid services
HRSA- health resources and services administration
ARHQ- agency for health care research and quality
ASTDR- agency for toxic substances and disease registry
32
"Fast Track" expedited review involves drugs for serious medical conditions which fill an unmet medical need
False
True
33
A systematic technique for evaluating, selecting/rejecting, and classifying and rating risks
catastrophic hazard
underwriting
adverse selection
moral hazard
34
"All of the individuals who, due to a wide variety of factors, are at a greater risk for poor health status"
compromised individuals
the poor and underserved
health disparity individuals
vulnerable populations
35
Events that, if covered would exceed the companys ability to pay- avoid insuring large number of people in same location
moral hazard
supplier induced demand
catastrophic hazard
adverse selection
36
Which DUR definition is INCORRECT?
concurrent- monitoring drug interactions when taking 2 or more meds
retrospective- review of therapy after patient receives the med
concurrent- ongoing monitoring during treatment
prospective- evaluation before med is dispensed
37
Regulates the quality of bottled water, infant formula, cosmetics, and gene therapy products
HHS
FDA
CDC
Department of Agriculture
38
US chief health educator, "the nations doctor," who provides info on how to improve population health
director of public health
surgeon general
attorney general
director of veterans affairs
39
State governments are responsible for all of the following EXCEPT:
collection of vital and health statistics
providing mental health care
inspection of health care settings
administration of medicare program
40
The beneficiary pays a specified fixed percentage for a service (usually 80%) and the insurer pays 80% is an example of:
deductible
co-payment
premium
co-insurance
41
Who oversees OSHA?
FDA
CDC
HHS
Department of Labor
42
Which is FALSE of CHIP?
for children and teens up to age 19
for children who's family income is below medicaid threshold levels
covers radiology, dental, vision, prescription drugs
funded by federal and state governments
43
Reduced the time of approval of generic drugs requiring only to demonstrate bioequivalence to brand drugs
Parke-Davis Act
National Research Council
Food Drug & Cosmetic Act of 1938
Hatch-Waxman Act
44
Private health insurance is voluntary
False
True
45
Pure (unanticipated) risk is insurable if:
the loss is not measurable
the probability of the event cannot be determined
the loss is accidental
the event occurs regularly
46
A health insurance plan pays for medical care only after the individual has first paid $1000. The $1000 is called:
co-insurance
co-pay
deductible
premium
47
Mission: to protect health and promote quality of life through prevention and control of disease
CMS
CDC
FDA
NIH
48
A continually updated list of medications and related products supported by current EBM and healthcare professionals
PBM
formulary
MTM
managed care drug list
49
Provides coverage for most outpatient medical services
Medicare Part B
Medicare Part A
50
Health care coverage offered by commercial & non-profit organizations, require enrollment and a fee paid by beneficiary
public health insurance
private health insurance
medicare and medicaid
low deductible health insurance
51
What is the most important factor that influences health outcomes?
aspects of physical environment
social and economic factors
health behaviors
access and quality of care
52
Who is responsible for licensing health care professionals?
state governments
HRSA
AMA
local governments
53
Medicare Part B covers medically necessary services such as ambulance & ED, as well as immunizations and annual physical
False
True
54
Purchasing dental insurance for your child right before they get braces is an example of:
catastrophic hazard
speculative selection
moral hazard
adverse selection
55
The majority of beneficiaries receiving Medicare are:
elderly
suffering from ESRD
poor
disabled
56
Oversees workplaces to ensure employee safety, including protocols for bloodborne pathogens & medical waste tracking
FDA
CDC
OSHA
Workers Compensation Program
57
Mission: to protect communities from harmful health effects related to exposure of hazardous substances
HRSA
ASTDR
ARHQ
SAMHSA
58
Part B of Medicare specifically covers:
outpatient medications
dental and vision
hospitalization
none of the above
59
The primary funder/sponsor of biomedical research
IHS
NIH
CDC
FDA
60
Requires prescriber to obtain pre-approval from MCO before prescribing to demonstrate clinical need and rationale
prior authorization
quantity limits
step therapy
61
The Department of Denfense administers TRICARE insurance
False
True
62
Manufacturer must submit a ____ for the FDA to review a drug for approval
NDA
CDER
IND
sNDA
63
What is the main purpose of insurance?
to predict risk
underwriting
to protect against risk
to assess risk
64
Required drugs to not only be safe, but effective as well
1962 Kefauver-Haris Drug Amendment
1938 Food Drug & Cosmetic Act
1906 Pure Food & Drug Act
The Hatch-Waxman Act
65
Federal agency with the greatest involment in health care
CDC
CMS
HHS
SAMSHA
66
Which stage of drug development is correcly described?
preclinical testing- animal testing
clinical testing- identifies potentially useful compounds
preclinical research- human testing
67
One can sign up for both Medicare Part C and Medigap
True
False
68
Provides immunization guidelines
CDC
NIH
AHRQ
FDA
69
Involuntary setting of care, usually due to a court order, where patients receive acute or chronic treatment
forensic
outpatient
inpatient
70
Decreases the 10-month FDA drug approval process to 6 months
right to try act
breakthrough therapy
EUA
priority review
71
What percentage of the population experiences some form of mental illness in their lifetime?
10%
74%
55%
32%
72
Which is NOT a goal of managed care?
increased premiums
right drug, right time, right patient, right price
quality and accessibility of healthcare
focus on wellness and enhanced quality of life
73
Voluntary or involuntary setting of care where patients receive acute treatment for severe symptoms
outpatient
inpatient
forensic
74
In order to qualify for Medicare Part C, one must be enrolled in both Parts A and B as well
True
False
75
Which is true of SNF (skilled nursing facility) care?
must be admitted within 60 days of hospital discharge
no charge for the first 20 days, then co-insurance from days 21-100
must be preceded by a hospital stay of any length of time
covered under Medicare part B
76
Which is NOT a medication related function of the FDA?
helps manage drug costs
approves drugs based on purity, safety, and efficacy
post approval drug monitoring
regulation of prescription drug labeling and advertising
77
Which of the following is NOT a good strategy in communicating health information to patients?
using living room language
emphasize 1-3 key points
using medical terminology
provide supplemental written information
78
Treatment with antipsychotics resulted in increased institutionalization
True
False
79
Mission: to improve the quality, safety, efficacy, and effectiveness of health care for all US citizens
ARHQ
HRSA
ASTDR
SAMHSA
80
Medicare Advantage Plans:
can vary in services and costs
can include prescription drugs, vision, dental, meals, and transportation
all of the above
provides a supplement to Part A and B expenses
81
SAMHSA is responsible for reducing the impact of substance abuse and mental illness in the US
False
True
82
The main advantage of group insurance
more people can obtain insurance from a single user
employer only has to deal with one insurance company
more comprehensive services can be covered vs individual plan
risk is spread out among a large number of insured
83
Responsible for providing policy, funding, and oversight on federal healthcare programs including Medicare & Medicaid
CHIP
ACL
CMS
FDA
84
Mental illness can be acute or chronic
True
False
85
Who sets US dietary standards and is responsible for school lunch programs and food stamps?
Department of Agriculture
CMS
FDA
Department of Food Administration
86
When having health insurance encourages patients to overconsume healthcare services that they wouldn't have otherwise
incentives to create losses
moral hazard
adverse selection
catastrophic hazard
87
If one knew when a loss would occur, people would buy insurance just before the loss, or drop when no longer needed
convenient selection
catastrophic hazard
moral hazard
adverse selection
88
Which is a potential solution for rising drug costs?
inflation reduction act
avoid generating competition
decrease transparency of drug pricing to patients
refrain from implementing price constraints for drugs researched with tax $
89
Providers submit claims directly to insurance company and are paid by them, allowing for standardization & cost control
actuarial analysis
indemnity insurance
adverse selection
service benefit insurance
90
Mission: to seek & apply fundamental knowledge about living systems to enhance health, lengthen life, and reduce illness
IHS
FDA
CDC
NIH
91
Who is responsible for creating laws regarding health care delivery, and funding and authorizing federal programs?
the president
the senate
the supreme court
congress
92
Provides patients with access to drugs currently under investigation to treat serious disease when no alternative exists
breakthrough therapy
compassionate use program
medically necessary treatment plan
critical use program
93
Medigap policies are sold by:
private insurance companies
HMO's
the government
state programs
94
An elderly women who has been in a nursing home for the last 6 months and who has no assets receives insurance through:
Medicare Part A
Medicaid
Medicare Part B
Medigap
95
Mental health is a state of wellbeing where an individual:
takes SSRIs
can sometimes work productively
recognizes their abilities
is unable to cope with life stresses
96
Authorized, structured, ongoing review of prescribing, dispensing, and use of medication
managed care
internal medicine
DUR
PBM
97
Restrictions placed on the amount of medication dispensed
prior authorization
quantity limits
step therapy
98
The use of antipsychotics in mental illness led to the development of new antipsychotic medications
True
False

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