16 Questions
What is the purpose of managed care?
To ensure patients receive appropriate care for their needs
What is the primary goal of managed care?
To improve the quality of care while controlling healthcare costs
What is the key feature of managed care?
Utilization review
What are some key features of managed care?
Limited provider networks and utilization review
Who is eligible for Medicare?
Individuals aged 65 and older, those requiring kidney dialysis, and certain disabled individuals
What are the three types of managed care plans?
HMO, PPO, and POS
Who is eligible for Medicare?
Individuals aged 65 and older, those requiring kidney dialysis, and certain disabled individuals
What are the four parts of Medicare?
A, B, C, D
What is Medicaid?
A government-funded health insurance program designed to provide subsidized health insurance for low-income individuals
What is Medicaid?
A government-funded health insurance program for low-income individuals
What is negligence?
An injury to the plaintiff that was preventable
What is negligence?
An injury that was preventable, and it was reasonable to undertake the activity that would have prevented the injury
What is malpractice insurance?
Coverage for healthcare providers for liability arising from malpractice lawsuits
What is malpractice insurance?
Insurance for healthcare providers that covers liability arising from malpractice lawsuits
What is the purpose of the Affordable Care Act (ACA)?
To expand healthcare access and control costs
What is the primary goal of the Affordable Care Act (ACA)?
To expand healthcare access and control costs
Study Notes
- Managed care is a healthcare delivery system designed to control healthcare costs and improve the quality of care.
- Managed care emphasizes coordination and efficiency in the provision of healthcare services.
- Key features of managed care include limited provider networks, utilization review, physician gatekeeping, regulating hospital stays, and reimbursement to providers at discounted negotiated fees.
- Medicare is a social insurance program for individuals aged 65 and older, those requiring kidney dialysis, and certain disabled individuals.
- Medicare is divided into four parts, each covering specific healthcare services.
- Medicaid is a government-funded health insurance program designed to provide subsidized or socialized health insurance for low-income individuals.
- Negligence occurs when an injury to the plaintiff was preventable, and it was reasonable to undertake the activity that would have prevented the injury.
- Malpractice insurance provides coverage for healthcare providers for liability arising from malpractice lawsuits.
- The Affordable Care Act (ACA) has several key components designed to expand healthcare access and control costs.
- The ACA's policies include Medicaid expansion, health insurance exchanges, quasi community rating, premium credits, employer plans, and individual mandate.- The ACA aimed to achieve universal coverage and control healthcare expenditures.
- Policies introduced include Medicaid expansion, health insurance exchanges, employer plans, individual mandate, and changes to Medicare.
- Penalties collected from large employers and individuals who don't purchase qualifying insurance, increased FICA tax for high earners, and industry fees fund the ACA.
- Children can stay on parents' plan until 26.
- Under Trump, the individual mandate penalty was set to $0, and alternative health insurance options were introduced.
- Biden has invested in marketing and outreach and provided funding for increased premium credits and more incentives for states to expand Medicaid.
- The Federal government pays 95% of newly eligible for states that decide to expand Medicaid, but only for 2 years.
- The Inflation Reduction Act extended the increase in premium credits from the American Rescue Plan Act until 2025.
Test your knowledge on healthcare policies and systems with our informative quiz! From managed care and Medicare to negligence and malpractice insurance, this quiz covers a range of topics related to healthcare. You'll also get to test your knowledge on the Affordable Care Act (ACA) and its policies, including Medicaid expansion and health insurance exchanges. Whether you're a healthcare professional or just interested in learning more about the healthcare system, this quiz is perfect for you. So, let's get started!
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