QUESTIONS GRADED A+
◍ What was created in 1915? Answer: American Association for
Labor Legislation... created in the model bill
◍ What was the precursor of Medicare and Medicaid? Answer: Social
security passed in 1935
◍ What are the three main goals of ACA? Answer: expand access to
health insurance, reduce healthcare costs, support innovative delivery
methods
◍ What area *medicare or medicaid* was improved by the ACA?
Answer: medicare
◍ How many children were on CHIP as of Feb 2020? Answer: 6
million
◍ What year was medicare and medicaid formed? Answer: 1965
◍ What areas can Mezzo interactions influence? Answer:
organizations, schools, buisnesses and political relms
,◍ What areas do Macro interactions influence? Answer: interactions
between healthcare workers and patients/support systems of patients
◍ What do macro indentify and influence? Answer: systemic cause of
health disparities (not the indiviual)
◍ What is the foundational reimbursement model used during the
establishment of the Medicare and Medicaid programs. Answer: Fee
for service
◍ if a patient is readmitted to the hospital within 30 days for the same
diagnosis, the hospital will receive a reduced payment Answer: 30 day
policy under value based healthcare
◍ Which fee-for-service model are lump-sum payments paid by
nonprofit, for profit, and medical organizations? Answer: membership
fees
◍ What is an advantage of FFS? Answer: being able to have a
flexible schedule
◍ How many conditions do DRG classify? Answer: 450
◍ Which provision of value-based care is important when
coordinating care for a patient with end-stage renal disease? Answer:
provide the best care at the lowest cost
, ◍ Which action could a healthcare coordinator take when providing
value-based care to an obese patient? Answer: provide follow up
communication to support adoption of healthy behaviors
◍ A care coordinator is explaining value-based care to a patient with
cancer. Which statement should be included in the teaching? Answer:
This model provides incentives to providers based on positive
outcomes
◍ What are the four types of value based models? Answer: share
risks, bundles, global capitation, and shared savings
◍ environment consists of trends and changes in various areas,
including inflation, employment, economics, and GDP. Answer:
macro trend
◍ enacted, administered, and enforced by the government (federal,
state, and local) Answer: laws and rules
◍ Centers for Medicare and Medicaid Services (CMS) sets quality
standards for what areas? Answer: standards for nursing homes and
hospitals, diagnostic standards and billing codes
◍ How does CMS evaluate nursing homes? Answer: rates the quality
of US nursing homes through the Star rating program