MHA 708 CHAPTER 5 HEALTH POLICY RELATED TO FINANCING AND DELIVERY FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

MHA 708 CHAPTER 5 HEALTH POLICY RELATED TO FINANCING AND DELIVERY FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. How Healthcare Is Financed in the United StatesHealthcare Insurance Correct Answer •Private health insurance - 62% coverage •Public health insurance - 28 % coverage 2. What is public health insurance Correct Answer •Medicare •Medicaid •Children's Health Insurance Program (CHIP) 3. Impact of Healthcare Reform Correct Answer < 26 y.o. could be on parent's plan ACA Marketplace Plans introduced Pre-existing conditions "eliminated" Uninsured at < 9 % after ACA 4. How Healthcare Is Financed in the United States Healthcare Spending Correct Answer •National health expenditures •18.5 % of gross domestic product (GDP). Book quotes a COVID-inflated 19.2 % in 2020. •Per capita spending of $12,530 in 2020 - probably inflated as well due to COVID. Still, much higher than most OECD countries 5. U.S. Payment Sources 2019 Correct Answer Government = 40% Medicare - 21% Medicaid - 16% Other - 3% Private Health Insurance = 32% OOP Care = 11% Public Health and other public health- 3% Investment - 5% VA + Other third-party payer programs - 9% 6. U.S. Health Spending Distribution, by Category Correct Answer Personal Health care expenditures = 85% Public HC expenditures = 10% Investments in HC = 5% 7. Where Does the $ Go? Correct Answer Hospitals - 31% Physicians - 20% Rx - 10% Nursing Homes/Home Health - 9% Dental - 5% 8. Hospitals # and distribution Correct Answer 5000+ 9. What is the distribution of hospitals Correct Answer Community - 94% Federal Hospitals - 3.8% Nonfederal LTC - 2.2% 10. Factors Contributing to High Costs Correct Answer •Emphasis on curing disease rather than maintaining well- ness (reactive) •Extensive use of technology in delivering healthcare •Inefficiency of a multiple third-party payer system •Increase in the elderly population and accompanying chronic illness (demographic shift) •Waste and abuse within the system, resulting in part from practice variations across geographic areas (who's at fault?) •General inflation •Practice of defensive medicine •PRICE is #1 driver of HC cost 11. Private Health Insurance Correct Answer •Commercial insurance companies •Nonprofit organizations •Self-insured employers •Managed care organizations •HMOs, PPOs, POS • Almost all private insurance has some managed care feature 12. Managed Care Correct Answer •Managed care organizations (MCOs) •Health maintenance organizations (HMOs) •Preferred provider organizations (PPOs) •Enrollees pay premiums and deductibles •OR Employer pays on behalf of enrollee •MCOs assume financial risk and deliver care 13. What is Public Health Insurance Correct Answer •Financed by the government and provides benefits to eligible individuals 14. What are types of Public Health Insurance Correct Answer •Medicare •Medicaid CHIP 15. Medicare Correct Answer •61 million beneficiaries in 2020 •Individuals aged 65 or older •People of any age with disabilities who are eligible for Social Security benefits •Widows and orphans benefits •Dialysis...