HC 3308 EXAM 1- Chapter 1.Questions AND Correct Answers
"Administrative Simplification" mandated the Department of Health & Human
Services (DHHS) to establish national standards such as - ✔✔"Privacy Rule" and
the "Security Rule"
"Community First Choice Option in Medicaid" - ✔✔provides states with an
increased federal Medicaid matching rate to support community-based
attendant services for individuals who require an institutional level of care
"Medicaid Money Follows the Person" (MFP) - ✔✔sets demonstration projects
in motion by providing grants to states for additional federal matching funds for
Medicaid beneficiaries making the transition from an institution back to their
homes.
"Sickness Insurance" as what is was originally called.... - ✔✔was the beginning
of social insurance programs that mitigated (make less severe) the risks of
income interruption by accident, sickness, or disability.
"State Balancing Incentive Program" - ✔✔enhances federal matching funds to
states to increase the proportion of Medicaid long-term services and support
dollars allocated toward home/community based services.
1973 HMO Law by Richard Nixon - ✔✔If management care product is in town,
the employer has to offer it
1997 Decision of the U.S. 9th Circuit Court of Appeals permits... - ✔✔physician-
assisted suicide for competent, terminally ill adults in the state of Oregon.
,In 2016, California became the fourth state to enact physician-assisted suicide
legislation
3 Major healthcare concerns- What were the unintended effects of federal
healthcare legislation? - ✔✔All attempts to control one or two of these
concerns left the other remaining.
Ex. federal governments improvements in access to care by hospital expansions
and Medicare/Medicaid were accompanies by skyrocketing expenditure &
quality issues.
comprehensive reform should deal with all issues
5 major groups played key roles in debates on tax-funded health services: -
✔✔providers, insurers, consumers, business and labor
ACA changed this trend by promoting and requiring value-based rather than -
✔✔volume-based reimbursement.
ACA improving quality and lowering costs - ✔✔Provides small business health
insurance tax credits
Closes gap for older Americans prescription drug costs
All new health plan covers free preventive services
Enhanced anti-fraud and waste initiatives in federal programs
New Medicare value based purchasing bundled payment programs and
accountable care organization
According to American Hospital Association survey, by 2000... - ✔✔more than
15% of U.S. hospitals had opened complementary or alternative medicine
, centers. With a market estimated to be $34 billion and patients willing to pay
cash for treatments, hospitals are willing to rationalize the provision of
medically unproven services in response to patient demand.
Alternative Medicine - ✔✔health care practices and products used in place of
conventional medicine
American Medical Association (AMA) - ✔✔opposed government provided
insurance plans by every president. Represents only 25.6% of physicians and
medical students
Balanced Budget Act of 1997 - ✔✔Went into effect Jan. 1999, expanded the role
of private plans under Medicare+Choice to include managed care plans, such as
PPOs (preferred provider organization), Provider sponsored organizations
(PSOs), FFE plans, & Medical savings accounts (MSAs) coupled with high-
deductible insurance plans.
Balanced Budget Act of 1997 & Rural Hospitals - ✔✔included a Rural Hospital
Flexibility Program that replaced the essential access community hospital/rural
primary care hospital model with a critical access hospital (CAH) due to rural
hospital closures during the 1980's/early 90's.
Baylor created the model for... - ✔✔Blue Cross hospital insurance
Effectively improved hospitals' access to patients.
Baylor University Hospital Plan - ✔✔original plan:
-enrolled 1,250 public school teachers
-50 cents per month
"Administrative Simplification" mandated the Department of Health & Human
Services (DHHS) to establish national standards such as - ✔✔"Privacy Rule" and
the "Security Rule"
"Community First Choice Option in Medicaid" - ✔✔provides states with an
increased federal Medicaid matching rate to support community-based
attendant services for individuals who require an institutional level of care
"Medicaid Money Follows the Person" (MFP) - ✔✔sets demonstration projects
in motion by providing grants to states for additional federal matching funds for
Medicaid beneficiaries making the transition from an institution back to their
homes.
"Sickness Insurance" as what is was originally called.... - ✔✔was the beginning
of social insurance programs that mitigated (make less severe) the risks of
income interruption by accident, sickness, or disability.
"State Balancing Incentive Program" - ✔✔enhances federal matching funds to
states to increase the proportion of Medicaid long-term services and support
dollars allocated toward home/community based services.
1973 HMO Law by Richard Nixon - ✔✔If management care product is in town,
the employer has to offer it
1997 Decision of the U.S. 9th Circuit Court of Appeals permits... - ✔✔physician-
assisted suicide for competent, terminally ill adults in the state of Oregon.
,In 2016, California became the fourth state to enact physician-assisted suicide
legislation
3 Major healthcare concerns- What were the unintended effects of federal
healthcare legislation? - ✔✔All attempts to control one or two of these
concerns left the other remaining.
Ex. federal governments improvements in access to care by hospital expansions
and Medicare/Medicaid were accompanies by skyrocketing expenditure &
quality issues.
comprehensive reform should deal with all issues
5 major groups played key roles in debates on tax-funded health services: -
✔✔providers, insurers, consumers, business and labor
ACA changed this trend by promoting and requiring value-based rather than -
✔✔volume-based reimbursement.
ACA improving quality and lowering costs - ✔✔Provides small business health
insurance tax credits
Closes gap for older Americans prescription drug costs
All new health plan covers free preventive services
Enhanced anti-fraud and waste initiatives in federal programs
New Medicare value based purchasing bundled payment programs and
accountable care organization
According to American Hospital Association survey, by 2000... - ✔✔more than
15% of U.S. hospitals had opened complementary or alternative medicine
, centers. With a market estimated to be $34 billion and patients willing to pay
cash for treatments, hospitals are willing to rationalize the provision of
medically unproven services in response to patient demand.
Alternative Medicine - ✔✔health care practices and products used in place of
conventional medicine
American Medical Association (AMA) - ✔✔opposed government provided
insurance plans by every president. Represents only 25.6% of physicians and
medical students
Balanced Budget Act of 1997 - ✔✔Went into effect Jan. 1999, expanded the role
of private plans under Medicare+Choice to include managed care plans, such as
PPOs (preferred provider organization), Provider sponsored organizations
(PSOs), FFE plans, & Medical savings accounts (MSAs) coupled with high-
deductible insurance plans.
Balanced Budget Act of 1997 & Rural Hospitals - ✔✔included a Rural Hospital
Flexibility Program that replaced the essential access community hospital/rural
primary care hospital model with a critical access hospital (CAH) due to rural
hospital closures during the 1980's/early 90's.
Baylor created the model for... - ✔✔Blue Cross hospital insurance
Effectively improved hospitals' access to patients.
Baylor University Hospital Plan - ✔✔original plan:
-enrolled 1,250 public school teachers
-50 cents per month
