Chapters 3 and 4

Question 1

In 2019, a total of 25% of the federal budget was spent on Medicaid, Medicare, CHIP, and which of the following?

Answer 1

Marketplace subsidies

Question 2

Which of the following is an example of a government-funded health insurance program?
a.
Children’s Health Insurance Program (CHIP)

b.
Medicaid

c.
All of the choices are correct.

d.
Medicare

Answer 2

C. all correct

Question 3

True or False? In 2019 Medicaid provided coverage to 1 in 5 Americans, which makes it the nation’s largest public health insurance program.

Answer 3

true

Question 4

True or False? About 85% of those offered health insurance through their employer actually enroll.

Answer 4

false

Question 5

Which of these statements best describes “fee for service”?

Answer 5

The provider is financially rewarded for volume.

Question 6

The most important of future disabilities will be which of the following?

Answer 6

Chronic diseases

Question 7

True or False? Hospices are operated on the principle that the dying have special needs that hospital personnel are too busy to handle.

Answer 7

true

Question 8

Which of the following is a federal requirement designed to ensure that individuals are not inappropriately placed in a nursing home for long-term care?

Answer 8

Preadmission Screening and Resident Review

Question 9

Which of the following services are provided by hospice care programs?

Answer 9

Emotional support, Bereavement counseling, Medical supplies and equipment

Question 10

True or False? The first pre-payment plan to cover physician services was Medicare.

Answer 10

false

Question 11

What were the highest and the lowest Medicare expenditures in 2013?

Answer 11

Acute care, Mental health

Question 12

True or False? In an evaluation of the ADLs, bathing, dressing, toileting, and eating are used to measure physical and cognitive function for users of long-term services, and assistance with bathing is most common.

Answer 12

true

Question 13

Non-medical facilities that provide a rooms or apartments, meals, housekeeping, medication management, assistance with ADLs as needed, and recreational activities are known as which of the following?

Answer 13

Residential care communities/assisted living facilities

Question 14

In what year did the first Baby Boomers turn 65?

Answer 14

2011

Question 15

What were the top two Medicare benefit payments in 2014?

Answer 15

Hospital inpatient services, Private insurance through Medicare Advantage

Question 16

True or False? Shifts in the U.S. population are expected to change with an increase in Caucasians and a decrease in all other racial groups by 2040.

Answer 16

false

Question 17

True or False? The first managed care insurance programs were started with PPOs: Kaiser Permanente in California and Group Health Cooperative in Washington State.

Answer 17

false

Question 18

A nursing home that provides the level of care closest to hospital care is called a(n):

Answer 18

skilled nursing facility

Question 19

True or False? In 1983, Congress passed a prospective payment bill under which hospitals are paid a set amount for each patient in any of the established disease categories and Diagnosis-Related Groups (DRGs).

Answer 19

true

Question 20

The leading causes of death in those age 65 and older are cancer and which of the following?

Answer 20

Heart disease

Question 21

True or False? PACE is available to individuals 65 years of age or older who are certified by their state to need nursing home care but who are able to live safely in the community.

Answer 21

false

Question 22

Nursing facility services are provided by Medicaid-certified nursing homes, which primarily provide which types of services?
a.
Long-term care

b.
Rehabilitation

c.
All of the choices are correct.

d.
Skilled nursing

Answer 22

c all correct