D050 Module 1 quiz

Which Act would eventually lead to the creation of Medicare and Medicaid?

Health Security Act

Hill-Burton Act

Social Security Act

HIPAA

Medicare is an entitlement based program.

True

False

Which program is both federally and state-funded whose eligibility requirements vary from state to state

Medicare

Medicaid

Your patient/client has recently lost his job and is concerned about his access to continued health insurance. Which Act would protect his ability to carry his insurance with him?

HIPAA

EMTALA

COBRA

CHIIP

All of the following are goals of the Affordable Care Act (ACA), EXCEPT:

Expand access to health insurance

Provide health insurance access to uninsured children up to the age of 19

Reduce healthcare costs

Support innovative care delivery models

Which level of interactions involve implementing social service initiatives to support healthcare access on the community and institutional levels?

Micro

Marco

Mezzo

Macro

All of the following are strengths of the Fee-for Service reimbursement model, EXCEPT?

Provides choice of medical providers

Offers ownership of amount of doctor visits

Rewards providers based on the volume of service

Helped control healthcare costs

Both B and D

Select all that are true about Value-based Healthcare

Providers are paid based on patient health outcomes

If a patient is readmitted within 30 days regardless of the diagnosis, reimbursement with be reduced

Uses DRGs classification to establish payments

Providers will be reimbursed at a higher rate for low readmission rates

One of the most important components is the thirty-day rule

What are the four main types of value-based systems?

Share risks

Bundles

Global capitation

Shared savings

All of the above

You are working with Joe, a 52-year-old patient with heart disease who has been a smoker for the past 35 years. You are providing him with smoking cessation information and resources. What is this an example of?

Fee-for-Service care

Value-based care

Preventative care

Both B and C

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