HMGT 3311 Exam Review Ch 1,13,3,&2. All Questions with accurate answers. Rated A+
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HMGT 3311
HMGT 3311 Exam Review Ch 1,13,3,&2. All Questions with accurate answers. Rated A+
What did the Patient Protection and the Affordable Care Act (ACA) do for industry developments? - --Established the "Triple aim"
- Political hot-topic, under constant challenge
What do the Centers for Medicar...
amp2 all questions with accurate answers rated a what did the patient protection and the affordable care act aca do for industry developments established
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HMGT 3311 Exam Review Ch 1,13,3,&2.
All Questions with accurate answers.
Rated A+
What did the Patient Protection and the Affordable Care Act (ACA) do for industry developments? - ✔✔-
-Established the "Triple aim"
- Political hot-topic, under constant challenge
What do the Centers for Medicare and Medicaid Services (CMS) aiming to? - ✔✔--Get the right care for
the right patient, every time
- Control costs by moving from a "quantity of care" (" prospective") reimbursement system to a value-
based purchasing (VBP) system (Deficit Reduction Act of 2005)
What did providers do to change the business models? - ✔✔--Controlling costs
-Developing new service offerings
-Implementing information technology
What is the triple aim and is the goals of the healthcare system? - ✔✔-Cost
Access
Quality
What has happened to the population of the uninsured? - ✔✔-It has increased from 36 million to 50
million (2005-2010)
Why was there a decline of uninsured in 2013? - ✔✔-It was due to the ACA
Uncompensated care cost has _______ - ✔✔-risen
,ACA providers insurance coverage for almost all ______ - ✔✔-individuals
Who did the ACA created state insurance exchanges for? - ✔✔-Individual and Small business (pooling
beer power and providing multiple HC options)
What entail in the ACA expand of Medicaid coverage? - ✔✔--Covers all eligible individuals < 65 years of
age
-Controversial state option with reducing federal subsidies
What is the health plan medical loss ration and premium rate reviews of the ACA? - ✔✔-Rebates to
enrollees when total health spending < a threshold (80%-85%: medical spending ➗ premium revenue)
The ACA emphasize _______ ________ and _______ - ✔✔-bundled payments and VBP
The ACA created accountable Care Organizations-Voluntary, What did this include? - ✔✔--Group of
healthcare providers who work together to improve quality of care and reduce costs by keeping patients
healthy
-It initially created to serve Medicare beneficiaries
-Rewarded for reducing cost and improving quality
What are the healthcare industry uncertainty factors? - ✔✔-Health Reform:
-Value-Based Purchasing and ACOS
-Health Insurance Exchanges
-Expanded Medicaid Coverage
-Health Information Technology
Health spending growth has stabilized over the past decade, but still outpaces ____ - ✔✔-CPI
Around _____ of the nations health dollar ($3.8 Trillion) came from Health insurance and Hospital Care
was 31% - ✔✔-73%
, What are the factors contributing to the decreased in costs of care? - ✔✔--VBP
-Management of physician preference in medical devices
-Genric drugs coming onto the market
-More Robust use of Health IT to manage populations and prevent medical errors
-Lean/Six Sigma initiatives
-Informed consumers responsible for more of the cost of care
-Workplace wellness and employer programs
What are the factors contributing to increase in cost? - ✔✔--Emerging medical technology
-Chronic Disease
-Aging population (By 2025, 20% of the population will be 65 or older)
-Influx of participants into the market due to extended coverage and insurance mandate
-Professional liability and malpractice cost
What is the HITECH Act of 2009? - ✔✔-It encouraged investement in electronic health record (EHR)
technology
What did the HITECH ACT do? - ✔✔-It provided incentives to providers to develop meaningful use EHR
technology advancements
How has IT Advancement changed? - ✔✔-Providers are updating outdated cost accounting system to
help better control cost
What is Group Purchasing Organizations in IT? - ✔✔-They have been technology-enabled to pool
healthcare provider volumes and reduce until material costs
Healthcare providers are using _____________ _______ ______ _________ concepts to break down
processes and eliminate inefficient steps - ✔✔-lean thinking & Six Sigma
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