AMERICA FINAL EXAM 2026 FINAL REVIEW
BUNDLED SOLUTION PACKAGE
◉ 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