Quiz

Question 1

The focus that Kaiser put on their thrive marketing campaign to link an image of wellness with their name and organization is an example of what?

Answer 1

Market Differentiation

Question 2

Analyzing challenges or barriers to starting a new cardiac rehab program would be an example of what part of a SWAT analysis

Answer 2

Threats

Question 3

Applying for and obtaining a no-strings attached grant for a community based program is an example of equity or debt financing

Answer 3

neither

Question 4

a _____ is a detailed analysis that can help to determine the likelihood of success of a business venture

Answer 4

feasibility study

Question 5

is measuring the change in the number of new patients/new evaluations per month before a marketing campaign and comparing that number to the after the campaign is run is an example of a break even analysis

Answer 5

false

Question 6

Investing money into a marketing event when those resources could have been used to start a new clinic program is an example of a/an ___________________.

Answer 6

opportunity cost

Question 7

Determining the price you will offer a class or service at, based on what the expense of producing it and adding in some profit, is an example of __________________.

Answer 7

cost plus pricing

Question 8

what is an effective method for monitoring expenses and projecting revenues

Answer 8

constructing an annual budget

Question 9

Research has shown that most patients prefer to see a different physical therapist with a new perspective on their problem for each of their PT visits.

Answer 9

false

Question 10

Are premiums for PPOs higher than premiums for HMOs

Answer 10

true

Question 11

When a patient is seen by the PT, the PT enters codes. Those codes are used to determine how much the clinic is reimbursed by the insurance company. This is called:

Answer 11

fee for service

Question 12

is setting up a clear, consistent discount based on ability to pay allowed in a clinic that accepts gov payers

Answer 12

yes

Question 13

Do HMOs have lower out of pocket costs at time of service compared to PPO

Answer 13

yes

Question 14

As cost of an insurance policy increases, the comprehensiveness of services typically:

Answer 14

goes up

Question 15

A hospital negotiates with an insurer based on a reduced fee schedule to provide all services for an individual after an Total Knee Replacement, including surgery, hospitalization and post-operative care. This is called:

Answer 15

payment per episode

Question 16

A beneficiary’s insurance policy is 80/20 based on provider charges. What does the 80 represent?

Answer 16

percentage the insurer is responsible for paying

Question 17

Individuals with traditional Medicare, seen by a physical therapist while under Observation Status in a hospital, use Part B Medicare benefits.

Answer 17

true

Question 18

All states expanded Medicaid under Healthcare Reform.

Answer 18

false

Question 19

Federal law requires that cost sharing for individuals on Medicaid is identical, regardless of income.

Answer 19

false

Question 20

If states adopt a work requirement under Medicaid, all individuals will be required to work.

Answer 20

true

Question 21

medical insurance, including outpatient

Answer 21

part b

Question 22

hospital insurance including inpatient

Answer 22

part A

Question 23

medicare drug

Answer 23

part d

Question 24

medicare advantage

Answer 24

part c

Question 25

which is not covered by medicare: SNF, custodial care, home health, inpatient rehab

Answer 25

custodial care

Question 26

Mike Julian is a Medicare beneficiary. In order to qualify to receive services in a Skilled Nursing Facility, which of the following must apply?

Answer 26

he must have been hospitalized in the past 30 days

Question 27

Which of the following are TRUE about the Medicare Therapy Cap?

Answer 27

applies to all outpatient physical therapy settigns

Question 28

What is the triple aim

Answer 28

improved health cost containment improved health care

Question 29

CMMI was given wide authority to

Answer 29

lower spending without reducing the quality of care improve the quality of care without increasing spending

Question 30

a group of providers agree to collaborate on both cost and quality in exchanged for shared incentives

Answer 30

ACO

Question 31

A set amount is paid to a hospital who coordinates all care. This amount is in exchange for cost associated with a major surgical procedure. This is an example of which of the following models?

Answer 31

bundled payment

Question 32

In Bundled Payment models, which of the following are methods insurers use to offset the risk of over or under treatment by providers

Answer 32

non financial incentives mandates financial incentives

Question 33

in value based care what is the definition of value

Answer 33

health outcomes achieved per dollar spent

Question 34

what is the goal of value achieved in health care

Answer 34

high patient outcomes and satisfaction

Question 35

which of the following fits best for a medical home payment reform model

Answer 35

chronic disease management

Question 36

what was rising before aca

Answer 36

deductables premiums cost sharing underinsured pop uninsured pop

Question 37

which of the following was not addressed by ACA

Answer 37

underinsured

Question 38

which of the following is true about medicaid after ACA

Answer 38

provider access can be challenging more adults qualified for medicaid under ACA than before ACA

Question 39

subsidies are available to many americans who buy health insurance through the exhange under ACA

Answer 39

true

Question 40

Plans on the Exchange are required under ACA to provide rehabilitation/habilitation services as a benefit.

Answer 40

true

Question 41

Multiple Choice: Which of the following was LEAST addressed under ACA?

Answer 41

cost

Question 42

Which of the following were alternatives for states in developing the health insurance marketplace/exchange under ACA?

Answer 42

develop and open their own exchange develop and open exhange together with gov allow fed gov to open exchange on their behaf

Question 43

What was the most substantial reason for the decrease in uninsurance rate under ACA?

Answer 43

medicaid enrollement

Question 44

which of the following is true about bidencare

Answer 44

would provide more competition in the insurance marketplace

Question 45

a major healthcare overhall is expected during biden administration

Answer 45

false

Question 46

One impact of the pandemic was an increase in state expenditures on Medicaid.

Answer 46

true

Question 47

do premiums and cost sharing exist in medicare for all

Answer 47

no

Question 48

Sales taxes, car registration and tobacco taxes are examples of a:

Answer 48

regressive

Question 49

In the United States, multiple loopholes have led to reduction in the amount the wealthy pay in what type of tax structure?

Answer 49

progressive tax

Question 50

the colorado option is similar to waht

Answer 50

medicare part c

Question 51

The graph comparing US Healthcare Expenditures to comparable countries found that the US pays more in which of the following categories?

Answer 51

inpatient admin prescription drugs preventative care

Question 52

The 2021 CMS Innovation Center Comprehensive Plan includes:

Answer 52

focus on health equity

Question 53

The Economic Cost on the slide about the "Design Your Own Healthcare System" game is described as:

Answer 53

impact on the cost of healthcare