Exam B: MHA 708 / MHA708 (Latest
Update ) Healthcare
Policy | Study Guide Questions and
Answers | 100% Correct | Grade A –
LSUS
Question:
Pharmacist Gag Clause
Answer:
Up until the implementation of the "Know Your Lowest Price Act of 2018",
pharmacists were not allowed to inform patients with health insurance about
less costly ways to obtain their medications, causing consumers to pay higher
prices
Question:
The Mental Health Parity and Addiction Equity Act (MHPAEA)
Answer:
- passed in 2008
- expanded by Obamacare
- ACA strengthened Marketplace plans to include mental health benefits
,Question:
MMA (Medicare Prescription Drug Improvement and Modernization Act)
Answer:
- enacted in 2003
- subsidy for large employers to discourage narrowing drug formularies and
keep Feds from establishing a drug formulary
Question:
America spends about ___% of its economic output (GDP) on Health Care -
more than any other nation
Answer:
18% of GDP
Question:
Established by Medicare Access and CHIP Reauthorization Act of 2015
(MACRA)
Answer:
MIPS & APMs
,Question:
_____ replaced Sustainable Growth Rate (SGR), intended to implement cuts
in payments to providers.
Answer:
MACRA
Question:
Sustainable Growth Rate (SGR) had an annual cut on several programs,
including cuts for docs, but Congress always passed a patch to prevent this
from happening so docs never got stung, but it accumulated to almost ____%,
thus was exchanged for MACRA, start of the pay for performance idea.
Answer:
30
Question:
____________: the birthplace of MIPS and APMs - the start of Pay-for-
Performance
Answer:
MACRA
, Question:
MIPS stands for
Answer:
Merit-Based Incentive Payment System
Question:
the program uses Medicare payment adjustments to achieve cost/quality
goals; provides Medicare payment adjustments (Budget neutral)
Answer:
MIPS
Question:
MIPS uses a composite performance score consisting of 4 elements:
Answer:
1. Quality (30%)
2. Improvement activities (15%)
3. Promoting interoperability (25%)
4. Cost (30%)
Update ) Healthcare
Policy | Study Guide Questions and
Answers | 100% Correct | Grade A –
LSUS
Question:
Pharmacist Gag Clause
Answer:
Up until the implementation of the "Know Your Lowest Price Act of 2018",
pharmacists were not allowed to inform patients with health insurance about
less costly ways to obtain their medications, causing consumers to pay higher
prices
Question:
The Mental Health Parity and Addiction Equity Act (MHPAEA)
Answer:
- passed in 2008
- expanded by Obamacare
- ACA strengthened Marketplace plans to include mental health benefits
,Question:
MMA (Medicare Prescription Drug Improvement and Modernization Act)
Answer:
- enacted in 2003
- subsidy for large employers to discourage narrowing drug formularies and
keep Feds from establishing a drug formulary
Question:
America spends about ___% of its economic output (GDP) on Health Care -
more than any other nation
Answer:
18% of GDP
Question:
Established by Medicare Access and CHIP Reauthorization Act of 2015
(MACRA)
Answer:
MIPS & APMs
,Question:
_____ replaced Sustainable Growth Rate (SGR), intended to implement cuts
in payments to providers.
Answer:
MACRA
Question:
Sustainable Growth Rate (SGR) had an annual cut on several programs,
including cuts for docs, but Congress always passed a patch to prevent this
from happening so docs never got stung, but it accumulated to almost ____%,
thus was exchanged for MACRA, start of the pay for performance idea.
Answer:
30
Question:
____________: the birthplace of MIPS and APMs - the start of Pay-for-
Performance
Answer:
MACRA
, Question:
MIPS stands for
Answer:
Merit-Based Incentive Payment System
Question:
the program uses Medicare payment adjustments to achieve cost/quality
goals; provides Medicare payment adjustments (Budget neutral)
Answer:
MIPS
Question:
MIPS uses a composite performance score consisting of 4 elements:
Answer:
1. Quality (30%)
2. Improvement activities (15%)
3. Promoting interoperability (25%)
4. Cost (30%)
