| | All of the above Substituting an income-related voucher for the current Medicaidsystem would not achieve the following: | | An income-related voucher would eliminate the large differencesbetween states in the percentage of their populations eligible forMedicaid. | | | An income-related voucher would reinforce the movement towardMedicaid managed care, with its emphasis on coordinated care andincentives to provide care in less costly settings. | | | An income-related voucher would provide employees with anincentive to forego higher pay so that they qualify for the vouchersubsidy. | | | An income-related voucher would provide those on Medicaid withan incentive to take higher-paying jobs because they would onlylose part of their voucher subsidy. | Most states have shifted their Medicaid beneficiaries intoprivate Medicaid managed care/HMO plans. What is the advantage tothe state for doing so? | | Medicaid patients are more likely to receive coordinated careand preventive services. | | | By paying HMOs a fixed fee per person per month, states are ableto shift their risk for higher expenditures to a managed careplan. | | | Medicaid patients are more likely to have access to a physicianwithin the HMO. | | | The HMOs have entered the Medicaid market because they believethey can provide the care less expensively and earn a profit. | What are some legitimate ways to spend down one's assets toqualify for Medicaid? | | Fixing up one's house, purchasing a new car, or setting up aspecial burial account | | | Providing financial gifts to one's children | | | Transferring property to one's children Setting up special retirement accounts that can be passed on tochildren or relatives after seven years |
How is Medicaid administered? | | By each state, but policy is shared with the federalgovernment | | | By the federal government and coordinated with the states | | | By a joint commission composed of federal and stateappointees | | | None of the above | Why were hospitals and physicians willing to participate in anHMO's provider network? | | Hospitals and physicians developed excess capacity and werewilling to discount their prices for more patients. | | | Hospitals and physicians believed that they could reduce medicalcosts by joining together to better manage patient care. | | | Some states provided hospitals and their employed physicians anincentive to join or start HMOs to serve their Medicaidpatients. | | | b and c How did early managed care firms achieve their largestsavings? | | By limiting access to very expensive specialty prescriptiondrugs | | | By reducing hospital utilization of its enrollees | | | By making enrollees wait long periods to see their primary carephysician | | | By limiting enrollees' access to the HMO's specialists | Managed care plans differ according to the restrictiveness oftheir provider network and access to specialists. Which types ofplans are likely to have the lowest premiums? | | Plans that have the largest ratio of primary care physicians tospecialists | | | Plans that have the most experience and have been in existencethe longest | | | Plans that have the most restrictive/narrow provider network | | | Plans that have received the highest quality and outcomemeasures | QUESTION 20 As part of the Affordable Care Act, health insurance exchangeswere established. What have been the most importantcost-containment approaches used by health plans competing forinsurance exchange enrollees? | | Health plans have used very narrow/limited providernetworks. | | | Health plans have dramatically reduced access to new medicaltechnology. | | | Health plans have included large deductibles and out-of-pocketpayments. | | | a and c | | | |
