Health Care Delivery, Settings, and Economics Chapter 2

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Questions and Answers

What type of health insurance is specifically designed for people older than 65 years?

Social security

Medicaid

Private insurance

Medicare (correct)

Which type of health-care delivery system aims to manage the cost and quality of access to health care?

Managed care (correct)

Private insurance

Medicare

Medicaid

What is the primary purpose of a skilled nursing facility (SNF)?

To provide long-term care for clients who cannot return home

To provide primary care for clients who do not have a primary care physician

To provide hospice care for clients with terminal illnesses

To provide temporary care for clients who require skilled nursing and therapy (correct)

What is the primary reason why a client's Medicare policy will pay for care at a skilled nursing facility (SNF)?

Because the client requires skilled nursing and therapy Signup and view all the answers

What is the primary difference between Medicare and Medicaid?

Medicare is for people 65 years or older, while Medicaid is for low-income individuals and families Signup and view all the answers

What is the primary consideration for determining the appropriate level of care for a client no longer requiring acute care?

Medical necessity Signup and view all the answers

What is the primary function of Medicare?

To provide health care for people older than 65 years or those with certain disabilities or conditions Signup and view all the answers

What is the primary difference between Medicare and Medicaid?

Medicare is for people older than 65 years or those with certain disabilities or conditions, while Medicaid is for individuals below the poverty level Signup and view all the answers

What is a key factor in determining the most appropriate level of care for a client?

Medical necessity Signup and view all the answers

In primary care nursing, who is responsible for all aspects of nursing care for assigned clients?

One nurse Signup and view all the answers

What is the primary role of a nurse leader in health-care economics?

To manage the financial aspects of health care Signup and view all the answers

What is a characteristic of Medicaid benefits?

They are slightly different in each state Signup and view all the answers

What is a key feature of Medicaid funding?

It is a federal-state government-matching funding program Signup and view all the answers

What is the primary difference between primary care nursing and other nursing roles?

The responsibility for all aspects of nursing care Signup and view all the answers

What is a key aspect of leadership and management in primary care nursing?

Coordinating care with other healthcare professionals Signup and view all the answers

Which part of Medicare provides insurance for hospitalization, hospice, home health, and skilled nursing facility services?

Part A Signup and view all the answers

What is the primary purpose of Medicare Advantage Plans?

To offer an alternative to traditional Medicare Signup and view all the answers

Which part of Medicare is responsible for payment of prescribed medications?

Part D Signup and view all the answers

What type of health insurance is Part B of Medicare?

Supplementary health insurance Signup and view all the answers

Which of the following services is covered by Part A of Medicare?

Hospice care Signup and view all the answers

Which type of insurance program is provided by a number of companies and purchased by the individual or his or her employer?

Private insurance Signup and view all the answers

What is the primary purpose of the Medicaid program?

To help states pay for the health care of those with an income below the poverty level Signup and view all the answers

What is the key difference between Medicare and Medicaid?

Medicare is a federal program, while Medicaid is a federal-state program Signup and view all the answers

Which type of insurance program provides benefits to retired people and those who are unemployed or disabled?

Social security Signup and view all the answers

What is the primary goal of managed care in health-care delivery?

To manage the cost and quality of access to health care Signup and view all the answers

Study Notes

Health-Care Delivery and Economics

The federal government's health insurance program for people older than 65 years is Medicare.
Medicaid is a federal-state program that helps states pay for the health care of those with an income below the poverty level, as well as certain other individuals.
Managed care is a system of health-care delivery aimed at managing the cost and quality of access to health care.

Skilled Nursing Facilities (SNF)

Medicare will pay for a client's care at an SNF if the client requires skilled nursing care, such as physical therapy, as needed.
A client can return home after going to an SNF.
An SNF provides skilled nursing care, such as physical therapy, as needed.

Health Insurance

Medicare has four parts: Part A (hospitalization, hospice, home health, and skilled nursing facility services), Part B (supplementary health insurance for participating providers), Part C (Medicare Advantage Plans administered by private insurance companies), and Part D (Medicare Prescription Drug Coverage).
Private insurance is provided by companies and purchased by individuals or their employers.
Social security is a federal insurance program that provides benefits to retired people and those who are unemployed or disabled.

Client Care

To ensure a client continues to receive the most appropriate level of care, consider factors such as cost, safety, location, activities, and effectiveness.
The type of health insurance a client has can impact the level of care they receive.

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Test your knowledge of health care delivery, settings, and economics with this multiple-choice quiz. Identify the correct answers to questions about health insurance programs, health care organizations, and more.

Health Care Delivery, Settings, and Economics Chapter 2

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Questions and Answers

What type of health insurance is specifically designed for people older than 65 years?

Which type of health-care delivery system aims to manage the cost and quality of access to health care?

What is the primary purpose of a skilled nursing facility (SNF)?

What is the primary reason why a client's Medicare policy will pay for care at a skilled nursing facility (SNF)?

What is the primary difference between Medicare and Medicaid?

What is the primary consideration for determining the appropriate level of care for a client no longer requiring acute care?

What is the primary function of Medicare?

What is the primary difference between Medicare and Medicaid?

What is a key factor in determining the most appropriate level of care for a client?

In primary care nursing, who is responsible for all aspects of nursing care for assigned clients?

What is the primary role of a nurse leader in health-care economics?

What is a characteristic of Medicaid benefits?

What is a key feature of Medicaid funding?

What is the primary difference between primary care nursing and other nursing roles?

What is a key aspect of leadership and management in primary care nursing?

Which part of Medicare provides insurance for hospitalization, hospice, home health, and skilled nursing facility services?

What is the primary purpose of Medicare Advantage Plans?

Which part of Medicare is responsible for payment of prescribed medications?

What type of health insurance is Part B of Medicare?

Which of the following services is covered by Part A of Medicare?

Which type of insurance program is provided by a number of companies and purchased by the individual or his or her employer?

What is the primary purpose of the Medicaid program?

What is the key difference between Medicare and Medicaid?

Which type of insurance program provides benefits to retired people and those who are unemployed or disabled?

What is the primary goal of managed care in health-care delivery?

Study Notes

Health-Care Delivery and Economics

Skilled Nursing Facilities (SNF)

Health Insurance

Client Care

Studying That Suits You

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