Clickers

Question 1

Which of the following is a measure of the quality of a health care facility

Answer 1

• CYA- cover your assets
• HEDIS- Health plan employer data and information sets** -> report card
• GDP- gross domestic product

Question 2

the ACA was passed into law with overwhelming public and congressional approval

Answer 2

false

-it was very controversial

Question 3

the uninsured consist mostly of adults over the age of 65

Answer 3

• false over 65 people are covered by Medicare

- people uninsured are healthy young individuals and unemployed

Question 4

the underinsured consist mostly of adults under age 65

Answer 4

• true

- underinsured- high deductibles and doesnt cover everything

Question 5

all states are required to have the same set of eligibility requirements for medicaid

Answer 5

• false

- state by state variation

Question 6

all states are required to have the same set of eligibility requirements for medicare

Answer 6

-true

Question 7

the expansion of the availability of health services and improved hospital facilities was the main purpose of which law

Answer 7

• hill-burton act **
• balanced budget act of 1997- reconciliation tool
• HMO act of 1973- managed care shift
• social security act of 1965

Question 8

the phenomenon called moral hazard results directly from

Answer 8

• the uninsured segment of the population
• inadequate payment to providers
• managed care enrollment
• health insurance coverage*

Question 9

emergency departments, in most cases, are equipped to provide

Answer 9

• primary care services
• secondary care services*- rehabilitative services or follow up care
• tertiary care services**
• hospice care services

Question 10

which entity oversees the licensure of health care facilities

Answer 10

• the joint commission- evaluates and sees if you meet certain standards
• federal government- certifies
• state government*- license is law and state
• dept of health and human services (DHHS)

Question 11

capitation is best described as

Answer 11

• monthly lump sum payment based upon utilization of services
• monthly lump sum payment based upon the fee each service rendered
• fixed monthly fee per member*- insurer uses to control its cost and how much they will pay providers
• payment capped not to exceed a maximum cost for delivering services