CORRECT ANSWERS
The affordable care act established a
health insurance marketplace
Two major ways to finance health care services are
Fee-for-service and capitation
An alternative to the fee for service method of payment is
capitation
Medicare part B helps pay for
diagnostic tests
The prospective payment system is
the federal government announces to a hospital in advance what it will pay for
hospitalization
Medicaid is
An entitlement program funded by the federal and state governments
Which act created reformed the health care system
affordable care act
Group health insurance works by
pooling individual contributions to protect them from financial disaster due to
health care bills
,insurance companies charge deductibles, copayments and coinsurance to
increase the profit margins
Medicare Part A helps pay for
inpatient hospital care
A method of financing health care costs in which physicians are paid a fee by the
patient for each service they provide is known as
fee for service
Diagnosis related groups (DRG's) and prospective payment systems are most
clearly the reason for
critical pathways and managed care
The yearly amount an insured person must spend out-of-pocket for health care
services before a health insurance policy will begin to pay its share is known as
the
deductible
Which program offers and incentive to hospitals to dischargepatients as quickly
as possible?
prospective payment system
Once a deductible has been met, the percentage of the total bill paid by the
insured person is known as the
coinsurance
Which of the following constitutes a problem that affects data collected by the
nurse interviewing a chronically ill older patient ? Many older adults who are
covered only by Medicaid Parts A and B find it difficult to pay the cost of what?
prescription drugs while living at home
A 70-year-old patient tells the nurse " I cant go to the hospital for treatment
because I have no hospital insurance. My social security and my pension pay my
, living expenses, but I dont have any savings." The nurse's response should be
focused on?
providing information regarding medicare
Which response by the nurse best explains the advantage of health insurance
when a patient states " I didn't sign up for the health care insurance at my job
because i am young and healthy and can use the money in other ways"
with insurance you are spreading the risk in case you have a serious health event,
such as cancer or major trauma
A mother and her three children often seek medical services at the emergency
room. The nurse realizes that they have no insurance and are unable to pay for
services. The action the nurse should take that would provide the greatest
assistance to the family would be to
contact a social worker to discuss Medicaid with the mother
World Health Organization (WHO) is an agency of the
United Nations (UN)
Proprietary hospitals are primarily supported by
private owners or corporations
The rapid development of a variety of ambulatory services is directly related to
the rising cost of inpatient care
Improving the status of communities or groups of people through public
education is a focus on
Community health nursing
The purpose of adult fay care centers is to provide
daytime supervision for those not eligible for nursing homes
Which facilities are generally training sites for health care practitioners
teaching and research hospitals