Quizzes 1-4

Question 1

The focus that Kaiser Permanente put on their Thrive campaign to link an image of Wellness with their name and organization is an example of _________

Answer 1

Market Differentiation

Question 2

Analyzing challenges or barriers to starting a new cardiac rehab program would be an example of what part of a SWOT analysis?

Answer 2

Threats

Question 3

Applying for and obtaining a no-strings-attached grant for a community-based program is an example of what type of financing? Equity, Debt, or Neither?

Answer 3

Neither?

Question 4

A ______ is a detailed analysis that can help to determine the likelihood of success of a business venture (new business, new program, business expansion, etc)

Answer 4

Feasibility Study

Question 5

Floral shops raising the prices of roses around Valentine’s Day and Mother’s Day is an example of?

Answer 5

Supply and Demand

Question 6

True or False: Measuring the change in the number of new patients/new evaluations per month before a marketing campaign and comparing that number to after the campaign is run, is an example of a Break Even Analysis

Answer 6

False

Question 7

Investing money into a marketing event when those resources could have been used to start a new clinic program is an example of an __________

Answer 7

Opportunity cost

Question 8

Determining the price you will offer a class or service at, based on what the expense of producing it and adding in some profit is an example of ________

Answer 8

cost-plus pricing

Question 9

An effective method of monitoring expenses and projecting revenues is ______

Answer 9

constructing an annual budget.

Question 10

True or False: Research has shown that most patients prefer to see a different physical therapist with a new perspective on their problem for each of their PT visits.

Answer 10

False

Question 11

True or False: Premiums for PPO’s are higher than premiums for HMOs

Answer 11

True

Question 12

When a patient is seen by the PT, the PT enters codes. The codes are used to determine how much the clinic is reimbursed by the insurance company. This is called:

Answer 12

Fee for service

Question 13

True or False: HMOs typically have lower out of pocket costs at the time of service than a PPO

Answer 13

True

Question 14

As cost of an insurance policy increases, the comprehensiveness of service typically:

Answer 14

goes up

Question 15

A hospital negotiates with an insurer based on a reduced fee schedule to provide all services for an individual after a TKR, including surgery, hospitalization, and post-op care. This is called:

Answer 15

Payment per episode

Question 16

A beneficiary’s insurance policy is 80/20 based on provider charges. What does the 80 represent?

Answer 16

Percentage (80%) the insurer is responsible for paying.

Question 17

True or False: Individuals with traditional Medicare, seen by a physical therapist while under Observational Status in a hospital, use part B medicare benefits.

Answer 17

True

Question 18

True or False: All states expanded Medicaid under Healthcare Reform.

Answer 18

False

Question 19

True or False: Federal law requires that cost sharing for individuals on Medicaid is identical, regardless of income.

Answer 19

False

Question 20

If states adopt a work requirement under Medicaid, all individuals will be required to work.

Answer 20

True

Question 21

Medical Insurance, including outpatient is part ____ of medicare

Answer 21

B

Question 22

Hospital insurance, including inpatient is part ____ of medicare

Answer 22

A

Question 23

Medicare Drug benefit is part ___ of medicare

Answer 23

D

Question 24

Medicare advantage is part ___ of medicare

Answer 24

C

Question 25

Is custodial care a covered service under Medicare?

Answer 25

No

Question 26

Does the medicare therapy cap apply to all outpatient physical therapy settings?

Answer 26

Yes

Question 27

What are the elements of the Triple Aim?

Answer 27

Improved Health. Cost Containment, and Improved Healthcare

Question 28

CMMI is given wide authority to:

Answer 28

lower spending without reducing the quality of care, and improving the quality of care without increasing spending.

Question 29

A group of providers agreeing to collaborate on both cost and quality, in exchange for shared financial incentives is an example of

Answer 29

ACO

Question 30

A set amount is paid to a hospital who coordinates all care. This amount is in exchange for cost associated with a major surgical procedure. This is an example of _____

Answer 30

Bundled Payments

Question 31

In Bundled Payment models, what are methods insurers use to offset the risk of over or under treatment by providers?

Answer 31

Non-financial incentives, Mandates, Financial Incentives

Question 32

What is the definition of value in value-based care?

Answer 32

Health outcomes achieved per dollar spent.

Question 33

What is the ultimate outcome if the goal of "value" is achieved in healthcare?

Answer 33

High patient outcomes and satisfaction

Question 34

Were deductibles, premiums, cost sharing, underinsured population, uninsured population rising or falling before ACA?

Answer 34

ACA

Question 35

What was not addressed by the ACA?

Answer 35

Underinsurance

Question 36

True or False: Subsidies are available to many Americans who buy health insurance through the Exchange under ACA

Answer 36

True

Question 37

True or False: Plans on the exchange are required under ACA to provide rehabilitation/habilitation services as a benefit

Answer 37

True

Question 38

What was least addressed by the ACA?

Answer 38

Cost

Question 39

What were alternatives for states in developing the health insurance exchange under ACA?

Answer 39

Develop/open their own exchange, let the government do it, work together with the government to do it.

Question 40

What was the most substantial reason for the decrease in uninsurance rate under ACA?

Answer 40

Medicaid enrollment

Question 41

True or False: A major healthcare overhaul is expected during the Biden administration

Answer 41

False

Question 42

True or False: One impact of the pandemic was an increase in state expenditures on Medicaid

Answer 42

True

Question 43

Which healthcare plan would have no premiums or cost sharing?

Answer 43

Medicare For All

Question 44

Sales taxes, car registration, and tobacco taxes are examples of a ______ tax

Answer 44

Regressive

Question 45

In the United States, multiple loopholes have led to reduction in the amount the wealthy pay in what type of tax structure?

Answer 45

Progressive tax

Question 46

The Colorado Option has a structure similar to Medicare Part _____

Answer 46

C

Question 47

What requires hospitals to participate and is currently available on the Colorado Healthcare Exchange?

Answer 47

The Colorado Option

Question 48

The US Healthcare Expenditures compared to other countries shows the US spending more in everything except _________

Answer 48

Long Term Care

Question 49

The 2021 CMS Innovation Center Comprehensive Plan includes:

Answer 49

a focus on health equity

Question 50

The Economic Cost definition:

Answer 50

The impact on the cost of healthcare