Exam (elaborations)

NURS 486 FINAL QUESTIONS ANSWERS WITH SOLUTIONS 2024

Rating

Sold

Pages

Grade

A+

Uploaded on

04-09-2024

Written in

2024/2025

NURS 486 FINAL QUESTIONS ANSWERS WITH SOLUTIONS 2024

Institution

ACHPN

Course

ACHPN

Whoops! We can’t load your doc right now. Try again or contact support.

Report Copyright Violation

Written for

Institution: ACHPN
Course: ACHPN

Document information

Uploaded on: September 4, 2024
Number of pages: 21
Written in: 2024/2025
Type: Exam (elaborations)
Contains: Questions & answers

Subjects

nurs 486 final questions answers with solutions 20

Content preview

NURS 486 FINAL QUESTIONS
ANSWERS WITH SOLUTIONS 2024
WhyTwereTthereTnoTincentivesTforTphysiciansTtoTcontrolTcostsTinThealthcare?T-
TANSWERTtheyTwereTtheTprimaryTdecisionTmakers

didTasTmanyTtestsTasTpossibleTifTthereTwasTanyTmarginalTbenefit

inTtheTfeeTforTserviceTpayment,TtheTmoreTtesysTorTproceduresTperformed,TtheTwhatT-
TANSWERTgreaterTtheTphysician'sTearningsTbecauseTearningTtiedTtoTprocedures

inTfeeTforTservice,TpatientsTwereTinsulatedTfromTtheTcostsThowT-TANSWERTinsuranceTwasTpayingTitTall

lackTofTwhatTcontributedTtoTincreasedTcosts?T-TANSWERTcostTconsciousness

ptsTnotTawareTofTcosts

providersThadTnoTincentiveTtoTbeTconcerned

inT1983TtheTmovementTofTMedicareTshiftedTtoTwhatTpaymentTsystem?T-
TANSWERTprospectiveTpaymentTsystemT(predeterminedTpayment)

basedTonTDRGs,TwhichTwasTaTcommonTmethodTofTreimbursementTbasedTonTwhatT-
TANSWERTpredeterminedTfixedTprice-per-caseTdiagnosis

underTDRGs,TtheThospitalTwon'tTgetTreimbursedTforTwhatT-TANSWERTgoingToverTpre-establishedTprices

theTDRGsTcreatedTaTneedTforTwhat?T-TANSWERTnursingTmanagers

BroughtTphysicianTreimbursementTmoreTinTlineTwithTskillsTrequiredT&TactualTtimeTspentTonTprocedures

Ex:TwhenTcataractTsurgeryTwasTnew,TitTtookTlongerTandTwasTmoreTexpensiveT-TANSWERTRBRVs

nowTthatTitsTmoreTroutineTandTmainstream,TRBRVsTbroughtTpaymentTdown

,•TIndividualTorTemployerTpaysTforTpremium

•TCopaymentTwhenTpatientTseesTphysician

•TMustTselectTprimaryTcareTproviderT(inTnetworkTphysician)T=TGATETKEEPER

•TCan'tTgoTtoTanyTotherTphysician/specialistTw/oTreferral

•TInsuranceTwon'tTgiveTcoverageTifTyouTdoT-TANSWERTHMO

•TMemberTpaysTpremiumTforTfixedTpercentage

•TThereTisTaTdeductibleTandTcopayment

•TCanTchooseTphysicianTinTnetworkT-TDON'TTHAVETTOTHAVETATGATETKEEPER

oTCanTchooseTanyoneTinTtheirTlistTw/oTaTreferral

•TMightTbeTableTtoTgetTreimbursedToutTofTnetwork,TbutTlowerTrate

•TMayTorTmayTnotTpayTforTpreventativeTcareT-TANSWERTPPO

•TAllowsTuseTofTprovidersToutsideTtheTplan'sTpreferredTlistTorTnetwork,TbutTrequiresThigherTpremiumsTandT
copaymentsTforTservicesT-TANSWERTPOS

oTExpandsThealthTinsuranceTcoverageTtoTuninsuredTAmericansTwhileTcontrollingTcostsTandTimprovingTtheTq
ualityTofThealthTcareT-TANSWERTpatientTprotectionTandTaffordableTcareTact

encompassesTskillsTandTriskTtakingTthatTbusinesspersonsTbringTtoThealthTcareTorganizationsT-
TANSWERTentrepreneurship

includingTallTmedicalTfacilitiesTandTequipmentTavailableT-TANSWERTcapital

whatTpartTofTmedicareTisTfree?T-TANSWERTtheTbasicTpart

largestTHealthTinsuraneTinTtheTUST-TANSWERTmedicare

EntitlementTprogramTbasedTonTageT(65)TorTdisabilityT(kidneyTfailure,TterminalTcancer)TcriteriaTratherTthanT
onTneedT-TANSWERTmedicare

, coversTinpatientThospitalTservices,TskilledTnursingTfacilitiesT(SNFs),TandThomeThealthTbenefitsT-
TANSWERTmedicareTpartTA

coversTphysicianTservicesT-TANSWERTmedicareTpartTB

whatTcoversTimpoverishedTfamiliesT-TANSWERTmedicaid

medicaidTcoversTwho?T-TANSWERTdisabled

lowTincomeTwithTchildren

nursingThomeTlowTincome

methodTofTreimbursingTprovidersTbasedTonTtheTqualityTofTcareTprovidedTwithTanTemphasisTonTdiseaseTprev
entionTandTreductionTofTcomplicationsT-TANSWERTpayTforTperformance

whatTareTneverTevents?T-
TANSWERTwhereTmedicareTnoTlongerTpaysThospitalsTforTtheTextraTcostTofTtreatingTpreventableTerrorsT

HAI

injuriesTfromTfalls

wrongTsiteTsurgery

mismatchedTbloodTtransfusions

decreaseTduplicationTofTservicesTandTreduceTwastedThealthTcareTresourcesT-TANSWERTcareTcoordination

ensureTthatTpatientsTgetTeffectiveTtreatmentTatTtheTappropriateTlevelTofTcareT

•TMakesTsureTpatientTisn'tTkeptTinThospitalTlongerTthanTshouldTbeTorTdischargedTbeforeTtheyTshouldTbeTdisc
hargedT-TANSWERTcaseTmanagement

$12.99

Get access to the full document:

100% satisfaction guarantee

Immediately available after payment

Both online and in PDF

No strings attached

Get to know the seller

Performance

4.4

(218)

Also available in package deal

Get to know the seller

Performance Chamberlain College Of Nursing

View profile

Sold

321

Member since

1 year

Number of followers

Documents

15402

Last sold

3 days ago

Get everything you need to ace your classes in one place. We offer instant downloads of test banks, easy-to-read study guides, step-by-step homework help, and sample research papers to save you hours of work. Whether you're prepping for a big final or stuck on a tough assignment, our resources give you the exact shortcuts and practice you need to boost your grades fast. Stop stressing and get the competitive edge you need to succeed right now

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Performance. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews) 40945 documents were sold in the last 30 days Founded in 2010, the go-to place to buy study notes for 16 years now

NURS 486 FINAL QUESTIONS ANSWERS WITH SOLUTIONS 2024

Written for

Document information

Subjects

Content preview

Also available in package deal

Get to know the seller

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Didn't get what you expected? Choose another document

Pay as you like, start learning right away

Frequently asked questions

What do I get when I buy this document?

Satisfaction guarantee: how does it work?

Who am I buying these notes from?

Will I be stuck with a subscription?

Can Stuvia be trusted?