2023 Exam 3 Review Guide-2

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School

George Washington University *

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Course

6012

Subject

Health Science

Date

Dec 6, 2023

Type

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Uploaded by ConstableSteel12915

Review for Exam 3 Medicare What are the four parts of Medicare and what services do they cover? (how to enroll and financing) How is each part of Medicare financed? What is Medicare Advantage? Why might someone be interested in having it? What is Medigap and why might someone be interested in having it? What parts of Medicare does Medigap apply to? What is driving up Medicare costs? Medicare is a public program; what is the role of the private sector under Medicare? Medicare and donut hole for part D What are dual eligibles? (Medicaid is supplemental insurance for medicare) Medicaid Medicaid pays for long term care. Who is eligible for Medicaid? How does traditional Medicaid differ from Medicaid under the ACA? How is Medicaid financed? What is an entitlement? What are some examples of optional (vs mandatory) services under Medicaid? What is EPSDT and why is it important? It is aimed at the children population. What is a Medicaid waiver? What was the significance of NFIB v. Sebelius. Children’s Health Insurance Program Why is it popular in the state and federal level? The federal gives money. It is more flexible In what ways does CHIP differ from Medicaid?

What do state administrators like about CHIP? How do states administer CHIP in relation to Medicaid? Population Health; Policies to Address Social Determinants and Disparities What is population health? Structure (access), process and outcome Understand what is meant by the Social Determinants of Health. What is a health care disparity vs a health care difference?

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2023 Exam 3 Review Guide-2

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