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)?

    <p>Because the client requires skilled nursing and therapy</p> Signup and view all the answers

    What is the primary difference between Medicare and Medicaid?

    <p>Medicare is for people 65 years or older, while Medicaid is for low-income individuals and families</p> 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?

    <p>Medical necessity</p> Signup and view all the answers

    What is the primary function of Medicare?

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

    What is the primary difference between Medicare and Medicaid?

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

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

    <p>Medical necessity</p> Signup and view all the answers

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

    <p>One nurse</p> Signup and view all the answers

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

    <p>To manage the financial aspects of health care</p> Signup and view all the answers

    What is a characteristic of Medicaid benefits?

    <p>They are slightly different in each state</p> Signup and view all the answers

    What is a key feature of Medicaid funding?

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

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

    <p>The responsibility for all aspects of nursing care</p> Signup and view all the answers

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

    <p>Coordinating care with other healthcare professionals</p> Signup and view all the answers

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

    <p>Part A</p> Signup and view all the answers

    What is the primary purpose of Medicare Advantage Plans?

    <p>To offer an alternative to traditional Medicare</p> Signup and view all the answers

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

    <p>Part D</p> Signup and view all the answers

    What type of health insurance is Part B of Medicare?

    <p>Supplementary health insurance</p> Signup and view all the answers

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

    <p>Hospice care</p> 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?

    <p>Private insurance</p> Signup and view all the answers

    What is the primary purpose of the Medicaid program?

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

    What is the key difference between Medicare and Medicaid?

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

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

    <p>Social security</p> Signup and view all the answers

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

    <p>To manage the cost and quality of access to health care</p> 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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    Description

    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.

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