HCD Exam COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!

HCD Exam COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION! What is the function of HCPCS? - Answer- To report supplies used in healthcare. What are the three components of MIPS payment adjustments? - Answer- Quality improvement activities, cost, and advancing care information. What is the RBRVS system used for? - Answer- Determining how medical codes are valued. What does RVU stand for and what does it determine? - Answer- Resource Value Unit; it determines how much a provider is paid for a CPT code. What is the purpose of GPCI? - Answer- To adjust the cost of services based on geographic location. What are the three fundamental issues of the U.S. healthcare system? - Answer- Access, quality, and cost. What are the five key concepts of the Affordable Care Act (ACA)? - Answer- Guaranteed issue/individual mandate, Medicaid expansion, 10 required benefits, insurance exchanges/subsidies, and cost control/reforms. How does the federal government fund Medicaid expansion under the ACA? - Answer- 100% funding for the first 3 years, then 90% thereafter. What is the 'Triple Aim' of healthcare? - Answer- Improved health, improved healthcare, and cost containment. What is the 'missing' fourth aim often cited in the Triple Aim framework? - Answer- Health provider wellbeing. How does 'Medicare for All' function? - Answer- A single-payer model where everyone is enrolled in a federal program with no premiums or deductibles, funded by taxes. How does a 'Public Option' differ from 'Medicare for All'? - Answer- It is a government-run plan that competes with private insurance rather than replacing it. What is the definition of value-based care? - Answer- Health outcomes achieved per dollar spent. What is a Medical Home in the context of CMMI models? - Answer- A model where a team works alongside primary care providers (PCPs) to focus on care for Medicare and Medicaid beneficiaries. What is an Accountable Care Organization (ACO)? - Answer- A group that accepts shared responsibility for patient care quality and costs, with incentives based on performance. What is an episode-based payment model? - Answer- A payment structure for discrete episodes of care over a defined time period, incentivizing providers to stay under budget. What does the TEAM model cover? - Answer- Costs and procedures associated with care for 30 days for specific surgeries like LE replacement, CABG, and spinal stenosis. What is a progressive tax? - Answer- A system where higher income results in a higher tax rate. What is a regressive tax? - Answer- A system where lower income individuals bear a higher relative burden, such as sales tax. What is a flat tax? - Answer- A system where everyone pays the same percentage regardless of income. What are the three criteria used to evaluate policy implementation? - Answer- Political cost, economic cost, and efficiency. What are the two core mechanisms of the ACA regarding individual and employer coverage? - Answer- employee mandate and the individual mandate. What are the employer requirements under the ACA for companies with 200 or more employees? - Answer- Employers must cover 60% of costs and automatically enroll employees. How does the federal government finance Medicaid expansion under the ACA? - Answer- The government finances 100% of the cost for the first three years, transitioning to 90% thereafter.