PHRM 849 - FINAL EXAM | ACE EVERY QUIZ |
CONFIDENCE BACKED BY ACCURACY!
*Describe the importance of population health in today's health care environment* - Answer: 1.
population living longer 2. overutilization of healthcare services 3. greater % of population
eligible for Medicare and Medicaid 4. new technologies driving up costs without evidence of
better outcomes 5. imbalance of $ spent on a few
What is population health? - Answer: the health outcomes of a *group* of individuals, including
the distribution of such outcomes within the group
What is the difference between population health and public health? - Answer: 1. public health
has been understood by many to be the critical functions of state and local *public health
departments* 2. includes preventing epidemics, containing environmental hazards, and
encouraging healthy behaviors
*Identify Key Determinants of population health outcomes* - Answer: 1. healthcare 2.
education 3. income
Population Health - Person-Centered Interventions - Answer: 1. broad range of approaches
tailored to improve the health and well-being of an individual 2. variety of interventions can
include disease-specific, workplace environment, and community resources
Population Health - Impact Evaluation - Answer: 1. measure impact across the range of
interventions and risk continuum 2. allows for designing of prevention and treatment strategies
across the care continuum
What is managed care? - Answer: an approach to the delivery of healthcare services in a way
that puts *limited resources to best use* in optimizing patient care
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, Managed Care's Impact on the use of drugs - Answer: 1. Rx drug coverage provided to Medicare
beneficiaries with the Medicare Modernization Act of 2003 2. managed Rx drug benefit reduced
pharmacy costs by 10-40% in the 1990s
Pharmacists Role In Managed Care - Answer: 1. working in industry 2. mail order pharmacy 3.
specialty pharmacy 4. MTM/DUR services for employee groups 5. providing continuity of care
discharge services 6. direct care to patients as a provider...
What is Medicare? - Answer: 1. nation's largest health insurance program (16% of population) 2.
administered by Centers for Medicare and Medicaid Services (CMS) 3. enrollment by Social
Security Administration or Railroad Retirement Board
Who is covered by Medicare? - Answer: a health insurance program for: 1. people 65 years and
older 2. people under age 65 with certain disabilities 3. people of all ages with End-Stage Renal
Disease (ESRD) or ALS
Who qualifies for Medicaid? - Answer: 1. patients who qualify for Supplemental Security
Income (SSI) 2. some states use more descriptive categories (aged, blinded, disabled) 3. low-
income families who meet certain state requirements 4. infants born to Medicaid-eligible
pregnant women 5. children < 6 yo and pregnant women with incomes < 138% of FPL 6.
pregnant mothers are covered 60 days after the pregnancy ends
How is Medicaid funded? - Answer: 1. jointly funded by the federal government and states 2.
federal government pays on average 57% of Medicaid expenses
Medicare - Part A: Coverage - Answer: 1. most people receive part A for free based on paying
into the system through work 2. those who have not worked for 10 full years can still get Part A
and B benefits but must pay per month
Medicare - Part A: Covered Services - Answer: 1. hospitalizations 2. skilled nursing facility 3.
home health 4. hospice care
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
CONFIDENCE BACKED BY ACCURACY!
*Describe the importance of population health in today's health care environment* - Answer: 1.
population living longer 2. overutilization of healthcare services 3. greater % of population
eligible for Medicare and Medicaid 4. new technologies driving up costs without evidence of
better outcomes 5. imbalance of $ spent on a few
What is population health? - Answer: the health outcomes of a *group* of individuals, including
the distribution of such outcomes within the group
What is the difference between population health and public health? - Answer: 1. public health
has been understood by many to be the critical functions of state and local *public health
departments* 2. includes preventing epidemics, containing environmental hazards, and
encouraging healthy behaviors
*Identify Key Determinants of population health outcomes* - Answer: 1. healthcare 2.
education 3. income
Population Health - Person-Centered Interventions - Answer: 1. broad range of approaches
tailored to improve the health and well-being of an individual 2. variety of interventions can
include disease-specific, workplace environment, and community resources
Population Health - Impact Evaluation - Answer: 1. measure impact across the range of
interventions and risk continuum 2. allows for designing of prevention and treatment strategies
across the care continuum
What is managed care? - Answer: an approach to the delivery of healthcare services in a way
that puts *limited resources to best use* in optimizing patient care
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, Managed Care's Impact on the use of drugs - Answer: 1. Rx drug coverage provided to Medicare
beneficiaries with the Medicare Modernization Act of 2003 2. managed Rx drug benefit reduced
pharmacy costs by 10-40% in the 1990s
Pharmacists Role In Managed Care - Answer: 1. working in industry 2. mail order pharmacy 3.
specialty pharmacy 4. MTM/DUR services for employee groups 5. providing continuity of care
discharge services 6. direct care to patients as a provider...
What is Medicare? - Answer: 1. nation's largest health insurance program (16% of population) 2.
administered by Centers for Medicare and Medicaid Services (CMS) 3. enrollment by Social
Security Administration or Railroad Retirement Board
Who is covered by Medicare? - Answer: a health insurance program for: 1. people 65 years and
older 2. people under age 65 with certain disabilities 3. people of all ages with End-Stage Renal
Disease (ESRD) or ALS
Who qualifies for Medicaid? - Answer: 1. patients who qualify for Supplemental Security
Income (SSI) 2. some states use more descriptive categories (aged, blinded, disabled) 3. low-
income families who meet certain state requirements 4. infants born to Medicaid-eligible
pregnant women 5. children < 6 yo and pregnant women with incomes < 138% of FPL 6.
pregnant mothers are covered 60 days after the pregnancy ends
How is Medicaid funded? - Answer: 1. jointly funded by the federal government and states 2.
federal government pays on average 57% of Medicaid expenses
Medicare - Part A: Coverage - Answer: 1. most people receive part A for free based on paying
into the system through work 2. those who have not worked for 10 full years can still get Part A
and B benefits but must pay per month
Medicare - Part A: Covered Services - Answer: 1. hospitalizations 2. skilled nursing facility 3.
home health 4. hospice care
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
