Healthcare Delivery Systems C425
ACTUAL UPDATED QUESTIONS AND
CORRECT ANSWERS
A new movement known as the Mental Health Reform became popular at the end of the 19th
century. Which initiative did this reform accomplish for health care? - CORRECT
ANSWERS✅✅It addressed the need to improve mental health treatment.
The federal government amended the Social Security Act in 1965 to provide Medicare and
Medicaid programs. For which population were these programs originally designed to
provide benefits? - CORRECT ANSWERS✅✅Elderly and poor.
In 2010, President Obama signed into law the Patient Protection and Affordable Care Act.
What was the initial intended impact of this Act? - CORRECT ANSWERS✅✅To ensure
that uninsured individuals have access to health care.
Which important change in the U.S. healthcare system was made with the enactment of the
Social Security Act? - CORRECT ANSWERS✅✅It funded payments through the federal
government and the states.
Why is the federally sponsored health insurance program known as Medicare important in the
development of delivery of care in the U.S.? - CORRECT ANSWERS✅✅It provides
persons over age 65 with benefits for inpatient hospital services.
Medicaid is a state-managed and dually funded program. States have some flexibility on
which Medicaid benefits to cover as long as the state meets basic federal requirements. What
does this state run program ensure? - CORRECT ANSWERS✅✅Services are not limited
based on medical necessity.
Medicaid provides healthcare services to a specified population. Which statement accurately
describes Medicaid regulations? - CORRECT ANSWERS✅✅It is available to individuals
who meet income guidelines.
, The implementation of the Affordable Care Act seeks to provide health insurance to millions
of uninsured Americans. How has this Act impacted healthcare delivery? - CORRECT
ANSWERS✅✅Lifetime limits on coverage has been removed.
The Patient Protection and Affordable Care Act will impact the healthcare delivery system in
many ways. One change was allowing states to amend their Medicaid program. Which
change did the Patient Protection and Affordable Care Act program support? - CORRECT
ANSWERS✅✅Coverage
A doctor is setting up a new practice and wants to receive federal reimbursement. The doctor
contacts the Center for Medicare and Medicaid Services for assistance. Which kind of
information is provided by this agency? - CORRECT ANSWERS✅✅Parameters of the
diagnostic related groups.
A 40 yr old individual without children and a limited income is concerned about the new
Affordable Healthcare Act. The individual wants to know about eligibility for healthcare
services at a reduced cost. Which agency should this individual contact? - CORRECT
ANSWERS✅✅Department of Health and Human Services.
A doctor wants to help patients understand which products are sage. The doctor decides to
use information provided by the FDA. Which 2 products are regulated by this organization? -
CORRECT ANSWERS✅✅Vaccines ordered by doctors to be used in a study. Medications
that are in the developmental process.
A primary care physician prescribes an antibiotic for a patient with a sinus infection. Which 2
elements categorize this situation as primary care? - CORRECT ANSWERS✅✅The care is
provided by a generalist. The treatment is at the initial point of patient contact.
An institution provides healthcare services to patients who are working to restore functional
abilities along with assuming activities of daily living. Which type of care entity provides
these services? - CORRECT ANSWERS✅✅Rehabilitation care.
An employer changed insurance carriers. An employee's long standing primary care
physician is not a part of the new plan. Since this physician has been treating the employee
for a chronic medical condition for the last 10 yrs, the employee is concerned about their
healthcare costs. Which decision will provide cost effective care for the patient? - CORRECT
ANSWERS✅✅Continuing to follow the previous physician's recommendations while
seeking a new in network physician.
ACTUAL UPDATED QUESTIONS AND
CORRECT ANSWERS
A new movement known as the Mental Health Reform became popular at the end of the 19th
century. Which initiative did this reform accomplish for health care? - CORRECT
ANSWERS✅✅It addressed the need to improve mental health treatment.
The federal government amended the Social Security Act in 1965 to provide Medicare and
Medicaid programs. For which population were these programs originally designed to
provide benefits? - CORRECT ANSWERS✅✅Elderly and poor.
In 2010, President Obama signed into law the Patient Protection and Affordable Care Act.
What was the initial intended impact of this Act? - CORRECT ANSWERS✅✅To ensure
that uninsured individuals have access to health care.
Which important change in the U.S. healthcare system was made with the enactment of the
Social Security Act? - CORRECT ANSWERS✅✅It funded payments through the federal
government and the states.
Why is the federally sponsored health insurance program known as Medicare important in the
development of delivery of care in the U.S.? - CORRECT ANSWERS✅✅It provides
persons over age 65 with benefits for inpatient hospital services.
Medicaid is a state-managed and dually funded program. States have some flexibility on
which Medicaid benefits to cover as long as the state meets basic federal requirements. What
does this state run program ensure? - CORRECT ANSWERS✅✅Services are not limited
based on medical necessity.
Medicaid provides healthcare services to a specified population. Which statement accurately
describes Medicaid regulations? - CORRECT ANSWERS✅✅It is available to individuals
who meet income guidelines.
, The implementation of the Affordable Care Act seeks to provide health insurance to millions
of uninsured Americans. How has this Act impacted healthcare delivery? - CORRECT
ANSWERS✅✅Lifetime limits on coverage has been removed.
The Patient Protection and Affordable Care Act will impact the healthcare delivery system in
many ways. One change was allowing states to amend their Medicaid program. Which
change did the Patient Protection and Affordable Care Act program support? - CORRECT
ANSWERS✅✅Coverage
A doctor is setting up a new practice and wants to receive federal reimbursement. The doctor
contacts the Center for Medicare and Medicaid Services for assistance. Which kind of
information is provided by this agency? - CORRECT ANSWERS✅✅Parameters of the
diagnostic related groups.
A 40 yr old individual without children and a limited income is concerned about the new
Affordable Healthcare Act. The individual wants to know about eligibility for healthcare
services at a reduced cost. Which agency should this individual contact? - CORRECT
ANSWERS✅✅Department of Health and Human Services.
A doctor wants to help patients understand which products are sage. The doctor decides to
use information provided by the FDA. Which 2 products are regulated by this organization? -
CORRECT ANSWERS✅✅Vaccines ordered by doctors to be used in a study. Medications
that are in the developmental process.
A primary care physician prescribes an antibiotic for a patient with a sinus infection. Which 2
elements categorize this situation as primary care? - CORRECT ANSWERS✅✅The care is
provided by a generalist. The treatment is at the initial point of patient contact.
An institution provides healthcare services to patients who are working to restore functional
abilities along with assuming activities of daily living. Which type of care entity provides
these services? - CORRECT ANSWERS✅✅Rehabilitation care.
An employer changed insurance carriers. An employee's long standing primary care
physician is not a part of the new plan. Since this physician has been treating the employee
for a chronic medical condition for the last 10 yrs, the employee is concerned about their
healthcare costs. Which decision will provide cost effective care for the patient? - CORRECT
ANSWERS✅✅Continuing to follow the previous physician's recommendations while
seeking a new in network physician.
