WGU C425 - g g
Healthcare Deliv
g g
ery Systems, Reg
g g
ulation and Comp g g
liance questions a g g
nd answers
g
WhichgimportantgchangegingthegU.S.ghealthcaregsyst
emgwasgmadegwithgthegenactmentgofgthegSocialgSec
uritygAct?g-
ganswergggItgfundedgpaymentsgthroughgthegfederalgg
overnmentgandgthegstates.
Whygisgthegfederallygsponsoredghealthginsurancegpr
ogramgknowngasgMedicaregimportantgingthegdevelop
mentgofgdeliverygofgcaregingthegU.S.?g-
ganswergggItgprovidesgpersonsgovergageg65gwithgbene
fitsgforginpatientghospitalgservices.
,Medicaidgisgagstate-
managedgandgduallygfundedgprogram.gStatesghavegs
omegflexibilitygongwhichgMedicaidgbenefitsgtogcoverg
asglonggasgthegstategmeetsgbasicgfederalgrequiremen
ts.
Whatgdoesgthisgstate-rungprogramgensure?g-
ganswergggServicesgaregnotglimitedgbasedgongmedicalg
necessity
Medicaidgprovidesghealthcaregservicesgtogagspecifie
dgpopulation.
WhichgstatementgaccuratelygdescribesgMedicaidgreg
ulations?g-
ganswergggItgisgavailablegtogindividualsgwhogmeetginc
omegguidelines.
ThegimplementationgofgthegAffordablegCaregActgseek
sgtogprovideghealthginsurancegtogmillionsgofguninsur
edgAmericans.
HowghasgthisgActgimpactedghealthcaregdelivery?g-
ganswergggLifetimeglimitsgongcoverageghavegbeengre
moved.
, ThegPatientgProtectiongandgAffordablegCaregActgwillgi
mpactgtheghealthcaregdeliverygsystemgingmanygways
.gOnegchangegwasgallowinggstatesgtogamendgtheirgM
edicaidgprogram.
WhichgchangegdidgthegPatientgProtectiongandgAfford
ablegCaregActgprogramgsupport?g-
ganswergggCoverage
Agdoctorgisgsettinggupgagnewgpracticegandgwantsgtogr
eceivegfederalgreimbursement.gThegdoctorgcontactsg
thegCentergforgMedicaregandgMedicaidgServicesgforga
ssistance.
Whichgkindgofginformationgisgprovidedgbygthisgagenc
y?g-ganswergggParametersgofgthegdiagnostic-
relatedggroups
Ag40-year-
oldgindividualgwithoutgchildrengandgaglimitedgincome
gisgconcernedgaboutgthegnewgAffordablegHealthcareg
Act.gThegindividualgwantsgtogknowgaboutgeligibilitygf
orghealthcaregservicesgatgagreducedgcost.
Whichgagencygshouldgthisgindividualgcontact?g-
ganswergggDepartmentgofgHealthgandgHumangService
s
Healthcare Deliv
g g
ery Systems, Reg
g g
ulation and Comp g g
liance questions a g g
nd answers
g
WhichgimportantgchangegingthegU.S.ghealthcaregsyst
emgwasgmadegwithgthegenactmentgofgthegSocialgSec
uritygAct?g-
ganswergggItgfundedgpaymentsgthroughgthegfederalgg
overnmentgandgthegstates.
Whygisgthegfederallygsponsoredghealthginsurancegpr
ogramgknowngasgMedicaregimportantgingthegdevelop
mentgofgdeliverygofgcaregingthegU.S.?g-
ganswergggItgprovidesgpersonsgovergageg65gwithgbene
fitsgforginpatientghospitalgservices.
,Medicaidgisgagstate-
managedgandgduallygfundedgprogram.gStatesghavegs
omegflexibilitygongwhichgMedicaidgbenefitsgtogcoverg
asglonggasgthegstategmeetsgbasicgfederalgrequiremen
ts.
Whatgdoesgthisgstate-rungprogramgensure?g-
ganswergggServicesgaregnotglimitedgbasedgongmedicalg
necessity
Medicaidgprovidesghealthcaregservicesgtogagspecifie
dgpopulation.
WhichgstatementgaccuratelygdescribesgMedicaidgreg
ulations?g-
ganswergggItgisgavailablegtogindividualsgwhogmeetginc
omegguidelines.
ThegimplementationgofgthegAffordablegCaregActgseek
sgtogprovideghealthginsurancegtogmillionsgofguninsur
edgAmericans.
HowghasgthisgActgimpactedghealthcaregdelivery?g-
ganswergggLifetimeglimitsgongcoverageghavegbeengre
moved.
, ThegPatientgProtectiongandgAffordablegCaregActgwillgi
mpactgtheghealthcaregdeliverygsystemgingmanygways
.gOnegchangegwasgallowinggstatesgtogamendgtheirgM
edicaidgprogram.
WhichgchangegdidgthegPatientgProtectiongandgAfford
ablegCaregActgprogramgsupport?g-
ganswergggCoverage
Agdoctorgisgsettinggupgagnewgpracticegandgwantsgtogr
eceivegfederalgreimbursement.gThegdoctorgcontactsg
thegCentergforgMedicaregandgMedicaidgServicesgforga
ssistance.
Whichgkindgofginformationgisgprovidedgbygthisgagenc
y?g-ganswergggParametersgofgthegdiagnostic-
relatedggroups
Ag40-year-
oldgindividualgwithoutgchildrengandgaglimitedgincome
gisgconcernedgaboutgthegnewgAffordablegHealthcareg
Act.gThegindividualgwantsgtogknowgaboutgeligibilitygf
orghealthcaregservicesgatgagreducedgcost.
Whichgagencygshouldgthisgindividualgcontact?g-
ganswergggDepartmentgofgHealthgandgHumangService
s
