HMGT 3311 EXAM REVIEW CH. 1,2,3 & 4-13 WITH COMPLETE
SOLUTIONS 100% VERIFIED
Why was there a decline of uninsured in 2013? - Answer It was due to the ACA
Uncompensated care cost has _______ - Answer risen
ACA providers insurance coverage for almost all ______ - Answer individuals
Who did the ACA created state insurance exchanges for? - Answer Individual and Small
business pooling beer power and providing multiple HC options
What entail in the ACA expand of Medicaid coverage? - Answer -Covers all eligible
individuals < 65 years of age
-Controversial state option with reducing federal subsidies
What is the health plan medical loss ration and premium rate reviews of the ACA? -
Answer Rebates to enrollees when total health spending < a threshold (80%-85%:
medical spending ➗ premium revenue)
The ACA emphasize _______ ________ and _______ - Answer bundled payments and VBP
ACA created accountable Care Organizations-Voluntary, What did this include? -Answer
-Group of healthcare providers who work together to improve quality of care and reduce
costs by keeping patients healthy
-It initially created to serve Medicare beneficiaries
-Rewarded for reducing cost and improving quality
,What are the healthcare industry uncertainty factors? -Answer Health Reform:
-Value-Based Purchasing and ACOS
-Health Insurance Exchanges
-Expanded Medicaid Coverage
-Health Information Technology
What did the Patient Protection and the Affordable Care Act (ACA) do for industry
developments? - Answer -Established the "Triple aim"
- Political hot-topic, under constant challenge
What is the goal of the Centers for Medicare and Medicaid Services (CMS) seeking to? -
Answer -Get the right care for the right patient, every time
- Control costs by moving from a "quantity of care" (" prospective") reimbursement
system to a value-based purchasing (VBP) system (Deficit Reduction Act of 2005)
What did providers do to change the business models? - Answer -Controlling costs
-Developing new service offerings
-Implementing information technology
What is the triple aim and is the goals of the healthcare system? - Answer Cost
Access
Quality
What has happened to the population of the uninsured? - Answer It has increased from
36 million to 50 million (2005-2010)
Health spending growth has stabilized over the past decade, but still outpaces ____ -
Answer CPI
, Around _____ of the nations health dollar ($3.8 Trillion) came from Health insurance and
Hospital Care was 31% - Answer 73%
What are the factors contributing to the decreased in costs of care? - Answer -VBP
-Management of physician preference in medical devices
-Genric drugs coming onto the market
-More Robust use of Health IT to manage populations and prevent medical errors
-Lean/Six Sigma initiatives
-Informed consumers responsible for more of the cost of care
-Workplace wellness and employer programs
What are the factors contributing to increase in cost? - Answer -Emerging medical
technology
-Chronic Disease
-Aging population (By 2025, 20% of the population will be 65 or older)
-Influx of participants into the market due to extended coverage and insurance mandate
-Professional liability and malpractice cost
What is the HITECH Act of 2009? - Answer It encouraged investement in electronic
health record (EHR) technology
What did the HITECH ACT do? - Answer It provided incentives to providers to develop
meaningful use EHR technology advancements
How has IT Advancement changed? - Answer Providers are updating outdated cost
accounting system to help better control cost
What is Group Purchasing Organizations in IT? - Answer They have been
SOLUTIONS 100% VERIFIED
Why was there a decline of uninsured in 2013? - Answer It was due to the ACA
Uncompensated care cost has _______ - Answer risen
ACA providers insurance coverage for almost all ______ - Answer individuals
Who did the ACA created state insurance exchanges for? - Answer Individual and Small
business pooling beer power and providing multiple HC options
What entail in the ACA expand of Medicaid coverage? - Answer -Covers all eligible
individuals < 65 years of age
-Controversial state option with reducing federal subsidies
What is the health plan medical loss ration and premium rate reviews of the ACA? -
Answer Rebates to enrollees when total health spending < a threshold (80%-85%:
medical spending ➗ premium revenue)
The ACA emphasize _______ ________ and _______ - Answer bundled payments and VBP
ACA created accountable Care Organizations-Voluntary, What did this include? -Answer
-Group of healthcare providers who work together to improve quality of care and reduce
costs by keeping patients healthy
-It initially created to serve Medicare beneficiaries
-Rewarded for reducing cost and improving quality
,What are the healthcare industry uncertainty factors? -Answer Health Reform:
-Value-Based Purchasing and ACOS
-Health Insurance Exchanges
-Expanded Medicaid Coverage
-Health Information Technology
What did the Patient Protection and the Affordable Care Act (ACA) do for industry
developments? - Answer -Established the "Triple aim"
- Political hot-topic, under constant challenge
What is the goal of the Centers for Medicare and Medicaid Services (CMS) seeking to? -
Answer -Get the right care for the right patient, every time
- Control costs by moving from a "quantity of care" (" prospective") reimbursement
system to a value-based purchasing (VBP) system (Deficit Reduction Act of 2005)
What did providers do to change the business models? - Answer -Controlling costs
-Developing new service offerings
-Implementing information technology
What is the triple aim and is the goals of the healthcare system? - Answer Cost
Access
Quality
What has happened to the population of the uninsured? - Answer It has increased from
36 million to 50 million (2005-2010)
Health spending growth has stabilized over the past decade, but still outpaces ____ -
Answer CPI
, Around _____ of the nations health dollar ($3.8 Trillion) came from Health insurance and
Hospital Care was 31% - Answer 73%
What are the factors contributing to the decreased in costs of care? - Answer -VBP
-Management of physician preference in medical devices
-Genric drugs coming onto the market
-More Robust use of Health IT to manage populations and prevent medical errors
-Lean/Six Sigma initiatives
-Informed consumers responsible for more of the cost of care
-Workplace wellness and employer programs
What are the factors contributing to increase in cost? - Answer -Emerging medical
technology
-Chronic Disease
-Aging population (By 2025, 20% of the population will be 65 or older)
-Influx of participants into the market due to extended coverage and insurance mandate
-Professional liability and malpractice cost
What is the HITECH Act of 2009? - Answer It encouraged investement in electronic
health record (EHR) technology
What did the HITECH ACT do? - Answer It provided incentives to providers to develop
meaningful use EHR technology advancements
How has IT Advancement changed? - Answer Providers are updating outdated cost
accounting system to help better control cost
What is Group Purchasing Organizations in IT? - Answer They have been
