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NURS 487 UNIT 4 QUESTIONS WITH COMPLETE ANSWERS

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NURS 487 UNIT 4 QUESTIONS WITH COMPLETE ANSWERS

Institution
NURS 487
Course
NURS 487

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A specific amount of money that the insured must pay before an insurance company
will pay a claim


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deductible




What does Part A of medicare cover


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inpatient hospital services
skilled nursing facilities
home health benefits

,Reasons why states should not expand Medicaid:


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The uninsured already have access to necessary health care, even for free.
Medicaid harms health.
Expansion is expensive for states.
Moreover, populations currently eligible for but not enrolled in Medicaid
will come out of the woodwork.
Expansion is expensive in general, as is health reform. The money should
be used in other ways.
Medicaid is part of the welfare state that promotes social dysfunction. (See
also, this.)
States can extract concessions from the federal government in exchange
for expansion, so it is rational to resist until the terms are right.
Republican electoral constituencies do not, on average, benefit from
expansion.
Medicaid should be block granted; states should be afforded greater
flexibility.
Resisting expansion undermines reform, which is good for Republicans in
November.
Medicaid reduces the incentive to work.
Medicaid expansion crowds out private coverage.
The expansion comes with cost-increasing coverage mandates.




what does part D of medicare cover


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prescription drugs




what does part B of medicare cover

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physician services




ANA Health System reform agenda


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•Supports quality health care as a basic human right and universal access to
health care for all U.S. citizens
•Confirms that the health care policies must be outcomes based and reflect
the IOM's six quality aims for health care: safe, effective, efficient, timely,
patient-centered, and equitable
•Targets primary care to lower dependence on costly secondary and
tertiary care
•Advocates team approach that includes consumers, providers,
policymakers, and industry leaders to create an affordable health care
system




Historical reimbursement system characteristics


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•The more tests or procedures performed, the greater the physician's
earnings because earnings tied to procedures
•Economic incentives to provide as much care as possible
•Patients insulated from costs because insurance was paying the bill-
insurance companies were paying for every single thing

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NURS 487

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