HCA 600 Exam Questions And 100% Correct Answers ______% of Americans use _____% of the nation's healthcare dollars. - Answer 20, 80 National health care expenditures Percentages (pharmaceuticals, physi cians, hospital, etc.) 2015 - Answer Hospital care- 32.3% Physician services- 15.7% Prescription drugs- 10.1% Publicly Financed Programs - Answer -Medicare -Medicaid -CHIP (formerly SCHIP) -Public Health -Others for special populations (TRICARE, Indian Health Services, etc.) Parts of Medicare - Answer -Part A (inpatient) -Part B (outpatient) -Part C (M+C Medicare Advantage) -Part D (drug benefits since Medicare Modernization Act of 2003) Who finances and runs Medicare ? - Answer federal government through the Social Security System When did Medicare start? - Answer 1965 as part of the Social Security Act Amendments Title XVIII How many beneficiaries are there for Medicare as of 2016? - Answer 55 million Who is eligible for Medicare? - Answer It is an entitlement program for senior citizens (65+) and individuals with disabilities and end stage renal diseas e Medicare donut hole - Answer -This term refers to the discrepancy between t he limits of healthcare insurance coverage and the Medicare Part D coverage limits for prescription drugs. -they pay 50% of drug costs until patient exceeds $4,750 When did Medicaid start? - Answer 1965 under Title XIX of the Social Security ACt How many people are covered by Medicaid & CHIP together? - Answer 74 million in 2018 Who is eligible for Medicaid? - Answer -low-income persons (below 100% of FPL) -65% are mothers and dependent children -pregnant women -blinded or permanently disbaled -single or unemployed par ents How is Medicaid funded? - Answer federal and state government but it's run by the state Medicaid pays for... - Answer -long-term services and social support services -other benefits that Medicare doesn't cover like dental and vision Medicaid Expansion under ACA - Answer -expands to at or below 138% FPL ($32,913) -Federal will pay 100% until 2016 and decrease to 90% in 2020 -26 states including WV and D.C. (as of May 28, 2014) -May help hospitals in reducing uncompensated care costs -cover 21.3 million to the uninsured by 2022 -20 states have chosen not expand How many dual eligibles are there for Medicare and Medicaid? - Answer 9 million Children's Health Insurance Program (CHIP) - Answer covers children who are not poor enough to be Medicaid-eligible but are in families with incomes below 200% of the FPL When did CHIP come about? - Answer Balanced Budget Act (BBA) of 1997: renewing every 10 years How is CHIP financed? - Answer Jointly financed by the state/federal governments (fed pays little more) (about $9B budget in 2013) State participation in CHIP is ___________ and implementation/administration of it is __________. - Answer voluntary, flexible 20th Century Achievements in Public Health - Answer -Vaccinations -Motor vehicle safety -Control of infectious diseases -Decline of deaths from CHD and stroke -Healthier mothers and babies -Safer and healthier foods -Safer workplaces -Family planning -Fluoridation of drinking water -Recognition of tobacco use as a health hazard -improved sanitations Emerging Public Health Threats - Answer -bioterrorism -H1N1 -natural disasters -obesity epidemic How much did the US spend on public health in 2009? - Answer 76.2 billion, 3.1% of the government's health budget TRICARE - Answer Coverage for retirees and families of active-duty, retired, and deceased military personnel
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