OTD 417 Exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
T/F: States DO NOT need to have a balanced budget act? - CORRECT ANSWER - True
States deal with health care issues related to what? - CORRECT ANSWER - Licensure,
oversight of nursing homes & Some health insurance issues
T/F: Each state is run the same? - CORRECT ANSWER - False, each state is run differently
As an OT, its easier to influence the legislative process at what level? - CORRECT
ANSWER - State level
What are the 3 conceptual considerations for healthcare policy? - CORRECT ANSWER -
Access, quality, and cost
What are non-financial barriers to access? - CORRECT ANSWER - Language, health literacy,
cultural, lac of prompt access (waits for care), gender sensitivity for women, and health
disparities
Direct Access is access at which level? - CORRECT ANSWER - Clinical Level
Why did PTs push for direct access? - CORRECT ANSWER - Able to bypass primary care
physicians & go directly to therapy for services
T/F: OTs have direct access with many states, but Medicare still requires physicians signing
PoC? - CORRECT ANSWER - True
T/F: Direct access is NOT controversial? - CORRECT ANSWER - False; It IS controversial
,Practice perspective (____); Population perspective (____) - CORRECT ANSWER - Mirco;
Macro
At what level is therapy moving towards a structure/process/outcome approach? - CORRECT
ANSWER - Practice level
What are Medicare quality goals? - CORRECT ANSWER - - 30% of Medicare payments tied
to quality/value through alternative payment models by the end of 2016, and 50% by the end of
2018
- 85% of Medicare fee for service payments are tied to quality/value by the end of 2016 and 90%
by the end of 2018
What is Medicare utilization driven by? - CORRECT ANSWER - Local capacity of # of
beds/doctors
Today's healthcare costs are at ____% of the gross national product(GNP) - CORRECT
ANSWER - 17%
Healthcare costs are concentrated in the sickest Americans. The sickest ____% account for ___%
of the cost - CORRECT ANSWER - 10%; 64%
T/F: Access improved with the Affordable Care Act (ACA), but is not unstable? - CORRECT
ANSWER - True
T/F: With the ACA all US citizens were required to have healthcare insurance because of a
mandate? - CORRECT ANSWER - True
Uninsured decreased from ___Million (2013, pre-mandate) to ___Million (2016, post-mandate) -
CORRECT ANSWER - 44; 28
What year was the ACA mandate eliminated? - CORRECT ANSWER - 2019
, CBO estimates insurance premiums to increase ___% yearly and prompts ___ Million Americans
to drop insurance by 2017 & ___ million by 2027 - CORRECT ANSWER - 10%; 4 million;
13 million
ACA covered young adults under family plan until what age? - CORRECT ANSWER - 26 y/o
ACA may be seen as ____ with upcoming - CORRECT ANSWER - unconstitutional
What are the 5 A's that include cost and non-cost factors? - CORRECT ANSWER -
Availability, Accessibility, Accommodation, Acceptability, & Affordability.
Availability - CORRECT ANSWER - Amount & type of services in relation to population's
need
Accessibility - CORRECT ANSWER - Location & supply of health services in relation to the
population's location (transportation services)
Accommodation (3 parts) - CORRECT ANSWER - 1- Organization & appropriateness of
health services
2- Population's ability to use services
3- Population's opinion of services
Acceptability - CORRECT ANSWER - Attitude between healthcare providers & population
towards one another
Affordability - CORRECT ANSWER - Price of healthcare in relation to population's ability to
pay
Questions and CORRECT Answers
T/F: States DO NOT need to have a balanced budget act? - CORRECT ANSWER - True
States deal with health care issues related to what? - CORRECT ANSWER - Licensure,
oversight of nursing homes & Some health insurance issues
T/F: Each state is run the same? - CORRECT ANSWER - False, each state is run differently
As an OT, its easier to influence the legislative process at what level? - CORRECT
ANSWER - State level
What are the 3 conceptual considerations for healthcare policy? - CORRECT ANSWER -
Access, quality, and cost
What are non-financial barriers to access? - CORRECT ANSWER - Language, health literacy,
cultural, lac of prompt access (waits for care), gender sensitivity for women, and health
disparities
Direct Access is access at which level? - CORRECT ANSWER - Clinical Level
Why did PTs push for direct access? - CORRECT ANSWER - Able to bypass primary care
physicians & go directly to therapy for services
T/F: OTs have direct access with many states, but Medicare still requires physicians signing
PoC? - CORRECT ANSWER - True
T/F: Direct access is NOT controversial? - CORRECT ANSWER - False; It IS controversial
,Practice perspective (____); Population perspective (____) - CORRECT ANSWER - Mirco;
Macro
At what level is therapy moving towards a structure/process/outcome approach? - CORRECT
ANSWER - Practice level
What are Medicare quality goals? - CORRECT ANSWER - - 30% of Medicare payments tied
to quality/value through alternative payment models by the end of 2016, and 50% by the end of
2018
- 85% of Medicare fee for service payments are tied to quality/value by the end of 2016 and 90%
by the end of 2018
What is Medicare utilization driven by? - CORRECT ANSWER - Local capacity of # of
beds/doctors
Today's healthcare costs are at ____% of the gross national product(GNP) - CORRECT
ANSWER - 17%
Healthcare costs are concentrated in the sickest Americans. The sickest ____% account for ___%
of the cost - CORRECT ANSWER - 10%; 64%
T/F: Access improved with the Affordable Care Act (ACA), but is not unstable? - CORRECT
ANSWER - True
T/F: With the ACA all US citizens were required to have healthcare insurance because of a
mandate? - CORRECT ANSWER - True
Uninsured decreased from ___Million (2013, pre-mandate) to ___Million (2016, post-mandate) -
CORRECT ANSWER - 44; 28
What year was the ACA mandate eliminated? - CORRECT ANSWER - 2019
, CBO estimates insurance premiums to increase ___% yearly and prompts ___ Million Americans
to drop insurance by 2017 & ___ million by 2027 - CORRECT ANSWER - 10%; 4 million;
13 million
ACA covered young adults under family plan until what age? - CORRECT ANSWER - 26 y/o
ACA may be seen as ____ with upcoming - CORRECT ANSWER - unconstitutional
What are the 5 A's that include cost and non-cost factors? - CORRECT ANSWER -
Availability, Accessibility, Accommodation, Acceptability, & Affordability.
Availability - CORRECT ANSWER - Amount & type of services in relation to population's
need
Accessibility - CORRECT ANSWER - Location & supply of health services in relation to the
population's location (transportation services)
Accommodation (3 parts) - CORRECT ANSWER - 1- Organization & appropriateness of
health services
2- Population's ability to use services
3- Population's opinion of services
Acceptability - CORRECT ANSWER - Attitude between healthcare providers & population
towards one another
Affordability - CORRECT ANSWER - Price of healthcare in relation to population's ability to
pay
