hcds exam 2

Mental health is a state of wellbeing where an individual:

If one knew when a loss would occur, people would buy insurance just before the loss, or drop when no longer needed

The beneficiary pays a specified fixed percentage for a service (usually 80%) and the insurer pays 80% is an example of:

Which stage of drug development is correcly described?

SAMHSA is responsible for reducing the impact of substance abuse and mental illness in the US

Mission: to protect health and promote quality of life through prevention and control of disease

Who is responsible for licensing health care professionals?

Approval of drug to treat a serious condition (ex: cancer) that has proven to cause better outcomes vs current treatment

The majority of beneficiaries receiving Medicare are:

The main advantage of group insurance

Reduced the time of approval of generic drugs requiring only to demonstrate bioequivalence to brand drugs

A continually updated list of medications and related products supported by current EBM and healthcare professionals

When having health insurance encourages patients to overconsume healthcare services that they wouldn't have otherwise

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

Which of the following is NOT a good strategy in communicating health information to patients?

The largest integrated health care system in the US

Who sets US dietary standards and is responsible for school lunch programs and food stamps?

Which of the following is a HHS division that is part of the public health service?

An elimination period decreases adverse selection by not covering preexisting conditons for a certain time period

Events that, if covered would exceed the companys ability to pay- avoid insuring large number of people in same location

Which is NOT a form of utilization management?

Part B of Medicare specifically covers:

Reimbursement of expenses to the beneficiary directly, rather than payment to providers

Responsible for providing policy, funding, and oversight on federal healthcare programs including Medicare & Medicaid

Requires prescriber to obtain pre-approval from MCO before prescribing to demonstrate clinical need and rationale

Required drugs to not only be safe, but effective as well

State governments are responsible for all of the following EXCEPT:

Birthplace of the US Pharmaceutical Industry

Decreases the 10-month FDA drug approval process to 6 months

All of the following are reasons that someone under age 65 would pay no premium for Medicare Part A EXCEPT:

Who is responsible for creating laws regarding health care delivery, and funding and authorizing federal programs?

A drug approved via an EUA still must undergo full FDA approval at a later date

Which of the following is a DIRECT cost of mental illness?

Medicare Part B covers medically necessary services such as ambulance & ED, as well as immunizations and annual physical

A specified amount that is paid every time a service is received

Advisory committee made of healthcare professionals who manage and update a formulary

What is the main purpose of insurance?

"All of the individuals who, due to a wide variety of factors, are at a greater risk for poor health status"

The primary funder/sponsor of biomedical research

Treatment with antipsychotics resulted in increased institutionalization

Oversees 340B drug program

The use of antipsychotics in mental illness led to the development of new antipsychotic medications

"Impairments in one's ability to function as a result of a dysfunction in a persons mood, thoughts, and behaviors"

Mission: to seek & apply fundamental knowledge about living systems to enhance health, lengthen life, and reduce illness

Federal agency with the greatest involment in health care

Which DUR definition is INCORRECT?

Who oversees OSHA?

Provides immunization guidelines

Mission: to protect communities from harmful health effects related to exposure of hazardous substances

Involuntary setting of care, usually due to a court order, where patients receive acute or chronic treatment

What is the most important factor that influences health outcomes?

Practice of developing/applying evidence-based medication use strategies to enhance health outcomes & optimize resources

A health insurance plan pays for medical care only after the individual has first paid $1000. The $1000 is called:

Skilled nursing care that follows at least a 3-day hospitalization is covered under which part of Medicare?

Which is a potential solution for rising drug costs?

Purchasing dental insurance for your child right before they get braces is an example of:

Provides patients with access to drugs currently under investigation to treat serious disease when no alternative exists

"Fast Track" expedited review involves drugs for serious medical conditions which fill an unmet medical need

Authorized, structured, ongoing review of prescribing, dispensing, and use of medication

Providers submit claims directly to insurance company and are paid by them, allowing for standardization & cost control

A systematic technique for evaluating, selecting/rejecting, and classifying and rating risks

Medicaid recipients are never required to pay copays or decuctibles

An elderly women who has been in a nursing home for the last 6 months and who has no assets receives insurance through:

Oversees workplaces to ensure employee safety, including protocols for bloodborne pathogens & medical waste tracking

Regulates the quality of bottled water, infant formula, cosmetics, and gene therapy products

Human organ, bone marrow, and cord blood donation is overseen by:

Mission: to improve access to healthcare services for people who are uninsured, isolated, or medically vulnerable

Which is FALSE of CHIP?

Medicare Advantage Plans:

The primary criteria to become eligible for Medicaid is:

Which is NOT a medication related function of the FDA?

Insurance does not completely remove the risk of loss, but transfers part of the risk to the insurance company

What percentage of the population experiences some form of mental illness in their lifetime?

Which is true of SNF (skilled nursing facility) care?

Approval of a drug based on change to a "surrogate endpoint"

Pure (unanticipated) risk is insurable if:

Right to try act allows terminally ill patients to try experimental drugs that pass Phase 1 but are not FDA approved

One can sign up for both Medicare Part C and Medigap

Restrictions placed on the amount of medication dispensed

Manufacturer must submit a ____ for the FDA to review a drug for approval

Mental illness can be acute or chronic

In order to qualify for Medicare Part C, one must be enrolled in both Parts A and B as well

Which is NOT a goal of managed care?

Private health insurance is voluntary

The Department of Denfense administers TRICARE insurance

Health care coverage offered by commercial & non-profit organizations, require enrollment and a fee paid by beneficiary

A factor affecting rising costs of drugs includes:

Which is FALSE of Medicare Part D?

Who is the Surgeon General?

Voluntary setting of care in which patients receive chronic treatment for all severities of symptoms

Voluntary or involuntary setting of care where patients receive acute treatment for severe symptoms

Provides coverage for most outpatient medical services

US chief health educator, "the nations doctor," who provides info on how to improve population health

Practice of beginning drug therapy with the safest, cheapest drug (first line therapy) & progressing when necessary

Must be submitted to the FDA at least 30 days prior to the start of clinical testing

Medigap policies are sold by:

Which acronym is paired INCORRECTLY?

Mission: to improve the quality, safety, efficacy, and effectiveness of health care for all US citizens