The key distinction of Medicaid and Medicare is that Medicare was designed to serve certain categories of people regardless of their ability to pay, They include the eligibility criteria of anyone who reaches the age of 65 years and above while Medicaid specifically serves those who have low income and cannot afford to pay for health care. The third option is the correct answer.
The key distinction between Medicaid and Medicare is that: Medicaid covers virtually all long-term care services,...
1. Which is the largest financing source for long-term care in the U.S.? Medicare Medicaid (Medi-Cal in California)* Money Follows the Person (MFP) programs Private insurance 2. A skilled nursing facility is prohibited by regulations to have an assisted living section. True False 3. Registered nurses (RNs) typically function as directors of nursing (DONs) and team leaders in skilled nursing facilities. True False 4. Most Americans over the age of 50 believe that the federal government should ________. pay for...
Medicare/Medicaid (different parts, who is covered by what- especially specific to long-term care) History of Development 4 Specific components of Medicare
1. Why are long term care providers subject to so much external control by government agencies? 2. Why are government programs such as Medicare and Medicaid so concerned with regulating cost? 3. What do we mean when we say that the long term care system is reimbursement driven? 4. Who is covered by Medicare? Medicaid? 5. What long term care services does Medicare cover and what restrictions are placed on receiving those services? PreviousNext
How is the Medicaid budget approximately divided between federal and state governments? While the federal contribution was 60%, with state contribution at 40%, but now it is based on a sliding scale so less affluent states can participate. While the federal contribution is 40%, the state contribution is 60%, with extra funds from the NIH. Both federal and state contributions are 50%, with funding from Medicare so disadvantaged states can participate. While the federal contribution is 100%, the payment is...
1. Under Medicaid (Medi-Cal in California), most community-based long-term care services are provided through ________. Old Age Assistance Home & Community-Based Services 1915(c) Waiver Social Security Block Grants Hill_ Burton Act 2. Licensing of both skilled nursing facilities and their administrators is the responsibility of each state. True False 3. Which of the following personnel routinely change bed linens in long-term care facilities? Laundry staff Housekeepers Certified nursing assistants (CNAs) Licensed vocational or professional nurses (LVNs / LPNs) 4. Who...
4) Services included in Medicare Part A benefit include all EXCEPT: (5pts) Inpatient hospitalization Long-term care hospitalization O Hospice care Hearing aidsd 5) Medicare Part C combines Medicare Parts A and B into a managed care option known as 6) What is the name of the supplemental insurance coverage to Medicare Part A and Part B that covers most cost sharing expenses? Spts 7) What is the nation's largest integrated healthcare system?
11) Which of the following services are not covered by Medicare? Physician’s services Long Term Care Hospitalization Laboratory services 12) Which of the following is an example of the concept “activities of daily living”? Staying socially active through your declining years The psychosocial challenges brought on by getting older Being engaged in religious or spiritual activities Functional activities such as toileting, bathing, and walking Which of the following is a limitation of the Healthy People 2020 program? Most of the...
Someone post from a discussion question... (Respond to it) Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income. Medicaid offers care to the poorest families while CHIP extends coverage to a larger number of children. Care through the Medicaid program may be more extensive, but the CHIP...
11. For Medicare to cover the cost of care in the home, certain conditions must be met. These conditions include all of the following EXCEPT: (Search Chapter 3) a. The care must be certified as medically necessary. b. The care must be provided by a Medicare-certified home health agency. c. The patient must be homebound. d. The level of needed care must be custodial. 12. Which Medigap policy plan provides coverage for long-term custodial care? (Search Chapter 3) a. Plan...
1. How should we address the shortage of staffing in the long term care industry, specifically nursing facilities? 2. The demand for long-term care services will explode as the population ages and more people live longer with chronic conditions. Who will pay for these services and how will they be delivered? 3. How can we address violence in the long term care industry? 4. How should we address the high cost of services for nursing facilities; 5. What needs to...