Question

15. An example of defensive medicine a. when a physician orders a scan for a patient's migraine because he is afraid they have a brain b. when a physician makes a pregnant patient tumor wait to have an ultrasound until the 20 week guideline as stated by ACOG c. when a physician refers a patient to a college d. when a physician refuses to prescribe outside the guidelines 16. In the U.S, the private sector is the dominant player in the health care system (True or false) 7. HMO plans were created by insurance companies in response to the growth of PPOs. (True or false) 18. Health insurance with no (0) coverage for out-of-network physicians tend to be more expensive them plans that offer out-of-network coverage (True or false) 19. Why does the third-party payment system increase health care cost? a. patients decline their insurance coverage b. patients bear most of the cost c. patients are shielded from the true cost d. patients, through the system become more cost-conscious 20. With regard to health insurance, does moral hazard lead to same, lower or higher care utilization?

Answer 1

15. Defensive medicine is defined as the practise of recommending diagnostic test or medical treatment that is not necessarily the best option for the patient ,but an option that serves the function to protect the physician against the patient as plaintiff.

The correct option is A) the physician orders a scan for a patients migraine because he is afraid they have a brain tumor.

16. True , the private sector is the dominant player in the U.S health care system . Health care in united states is provided by many distinct organization . The private sector is made up of hospitals and clinics which are run independently. They are run by charities or not for profit organization.

17. False , HMO is Health maintainance organisation . It is a medical insurance group that provides health services . It gives you access to certain hospitals and doctors within its network . HMO and PPO are different managed care structure.

18. True . It is termed as out - of - network. Services offered from out of network providers are usually more expensive than those rendered by in- network providers because out - of - network providers have not negotiated lower rates with your insurer .