Nursing 1130 Final UPDATED ACTUAL Questions and CORRECT
Answers
Intent of Patient Protection and ACA Intent was to address healthcare in a country that doesn't believe health care is a
right
Affordable Care Act Patient protection piece meant to address the 41 mil people without insurance;
goal to improve accessibility/quality; divided into 10 titles
, Legal Issues Whether Medicaid expansion requirements were constitutional; requiring
businesses to offer contraception as part of employee benefits
Who are the uninsured? Adults more likely to be uninsured than children; ACA says children are 26 and
under; slightly more women than men
FPL Federal poverty level
Consequences of being uninsured if not getting preventative care, treatment of illness is higher; without good
insurance package, people are delaying going to hospital (sicker when they do
come in); less ACCESS to care
Emergency Care Act if you are in an emergent situation, hospital must stabilize you; very costly
Ex. if you have bowel blockage b/c you didn't get colonoscopy as preventative
measure, expensive
Lots people contacted by bill collector for not paying creates problem for whole system; 27% uninsured had someone come to door;
medical bills have to make decisions about paying for food, housing, basic needs of safety
Title 1: Affordability & Accessibility of Healthcare (most *Meant to address preexisting conditions; workers are going to change jobs 7
important) times throughout working career --> possibility of 7 dif insurance plans; ACA made
sure preexisting conditions can not be used against you
*Medicare --> must apply for benefit within 6 months of enrolling or your
preexisting condition might not be covered
Title 1 Cont. *Prohibited insurance companies from creating rates based on health needs -->
couldn't be forced to have a different plan based on your diseases
*Standard package --> can't cherry pick
Title II: Role of Public Programs: Medicaid, CHIP, *Affirms role that Medicare, Medicaid, CHIP have in our society --> reaffirming
Medicare they will continue
*Made sure ACA was expansion & not replacement
Title III: Improving Quality & Efficiency of Care *New national spotlight on quality
*Gov't established advisory board, research institute, & looked at independence in
home (since most people prefer to be home)
Title IV: Prevention of Chronic Disease & Improving *Chronic disease/long term --> if we can prevent it, less expensive
Public Health *Keeping environment clean is primary prevention
*Gov't said not all diseases are preventable, but chronic diseases should be -->
diabetes
*Ex. MI --> may not be a chronic disease, but congestive heart failure is chronic
Title V: Healthcare Workforce *Addressing fact that we don't have enough people of x, y, z focusing on primary
care
*Bottleneck --> not enough dermatologists (ex. of primary care provider)
*ACA trying to entice people into primary care by paying for their education
Answers
Intent of Patient Protection and ACA Intent was to address healthcare in a country that doesn't believe health care is a
right
Affordable Care Act Patient protection piece meant to address the 41 mil people without insurance;
goal to improve accessibility/quality; divided into 10 titles
, Legal Issues Whether Medicaid expansion requirements were constitutional; requiring
businesses to offer contraception as part of employee benefits
Who are the uninsured? Adults more likely to be uninsured than children; ACA says children are 26 and
under; slightly more women than men
FPL Federal poverty level
Consequences of being uninsured if not getting preventative care, treatment of illness is higher; without good
insurance package, people are delaying going to hospital (sicker when they do
come in); less ACCESS to care
Emergency Care Act if you are in an emergent situation, hospital must stabilize you; very costly
Ex. if you have bowel blockage b/c you didn't get colonoscopy as preventative
measure, expensive
Lots people contacted by bill collector for not paying creates problem for whole system; 27% uninsured had someone come to door;
medical bills have to make decisions about paying for food, housing, basic needs of safety
Title 1: Affordability & Accessibility of Healthcare (most *Meant to address preexisting conditions; workers are going to change jobs 7
important) times throughout working career --> possibility of 7 dif insurance plans; ACA made
sure preexisting conditions can not be used against you
*Medicare --> must apply for benefit within 6 months of enrolling or your
preexisting condition might not be covered
Title 1 Cont. *Prohibited insurance companies from creating rates based on health needs -->
couldn't be forced to have a different plan based on your diseases
*Standard package --> can't cherry pick
Title II: Role of Public Programs: Medicaid, CHIP, *Affirms role that Medicare, Medicaid, CHIP have in our society --> reaffirming
Medicare they will continue
*Made sure ACA was expansion & not replacement
Title III: Improving Quality & Efficiency of Care *New national spotlight on quality
*Gov't established advisory board, research institute, & looked at independence in
home (since most people prefer to be home)
Title IV: Prevention of Chronic Disease & Improving *Chronic disease/long term --> if we can prevent it, less expensive
Public Health *Keeping environment clean is primary prevention
*Gov't said not all diseases are preventable, but chronic diseases should be -->
diabetes
*Ex. MI --> may not be a chronic disease, but congestive heart failure is chronic
Title V: Healthcare Workforce *Addressing fact that we don't have enough people of x, y, z focusing on primary
care
*Bottleneck --> not enough dermatologists (ex. of primary care provider)
*ACA trying to entice people into primary care by paying for their education
