Instead of opting to use the standard Medicare health care package, eligible enrollees can opt to use a Medicare HMO. Select one: a. true b. false
1 True
Cordinated care plan includes Health maintenance organizations(HMO),preferred providere organizations and provider sponsored organizations ,through which a Medicare beneficiary may choose to recieve health care coverage and services.It provides a greater array of services and smaller copayment than conventional Medicare.
Instead of opting to use the standard Medicare health care package, eligible enrollees can opt to...
Discuss the major differences between a standard health insurance package and an HMO, in terms of total medical care use and financial risk to consumers
Chapter 24: Health Plans and Medicare 1. Which type of MA plan is experiencing an increase in availability and enrollment due to broad waivers from CMS? A. Medical savings account plan. B. Health Maintenance Organization plan. C. Private fee-for-service plan. D. Group retiree plan. 2. Dual Eligible Special Needs Plans enroll individuals who are “dual eligible.” Who are the “dual eligible”? A. Individuals who are eligible for Medicare and have Long-Term care insurance B. Individuals who are eligible for Medicare...
PPACA/Obamacare is a voluntary program: citizens who wish to opt out of the program can do so. Select one: a. true b. false
Care provided in SNFs is regulated by which of the following? a. Medicare Conditions of Participation and State Operations Manual b. Law enforcement agencies c. County regulations d. Commercial insurance companies' guidelines Facility-based long-term care includes which of the following? a. Adult day care services b Continuing care retirement communities c. Skilled nursing facilities d. Adolescent services 3. 4. 5. True or False: Resident Assessment Protocols (RAPs) are nonstandardized assessments that differ between SNFs Admission paperwork includes a number of...
Health care policy clearly articulates what is expected of individuals regarding their own personal care and health habits. Select one: a. true b. false
All health care organizations have to use the same Patient Care Partnership brochure to ensure they all look the same. True False One of the topics discussed in the Patient Care Partnership brochure is Help with your billing claims. True false The patients' rights outlined in the Patient Care Partnership brochure were initially intended for hospital stays True False
A problem with Medicare prospective payments is that healthcare providers can game the system by billing Medicare for higher-compensated DRGs than what is actually warranted. Select one: a. true b. false
QUESTION 9 In the future, health care will be flexible. We will observe a shift to on-demand home services. True False 0.1 points QUESTION 10 Robotics and artificial intelligence will be fully integrated in hospitals. True False 0.1 points QUESTION 11 Questions asked in the end of the video are: What impact will these advancements in technology have on the human element of clinician-to-patient care? Will individuals have the choice to opt out of interacting with health technologies?...
The Health Plan Employer and Data Information Set (HEDIS) is often used to evaluate care quality offered by managed health care plans. Select one: a. true b. false
1.The use of computerized clinical applications in health care can include: a. Automated Dispensing Systems b. Patient tracking Systems c. Bed Tracking Systems d. Drug Interaction Programs e. Medical Device Tracking Systems f. All of the above 2. To encourage the implementation of EHRs among physician who participate in the Medicare program, CMS announced in 2005 that it would offer physicians free of charge an EHR software program. a. True b. False 3. The following are all types of information...