Exam 2
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School
Brigham Young University, Idaho *
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Course
285
Subject
Law
Date
Feb 20, 2024
Type
docx
Pages
3
Uploaded by ChancellorClover10465
Be able to identify an example for each of the following laws/legislation:
AKS
FCA
Stark Law
EMTALA
HIPAA
T/F - Medical malpractice is believed to lead to "defensive medicine" which lowers the costs of healthcare in the US.
T/F -In states with "tort reform," non-economic damages are limited.
T/F -Medical malpractice cases are, typically, examples of intentional torts.
T/F - Negligence is the most common grounds for medical malpractice claims.
T/F -The PPACA has been less expensive than experts believed it would be.
Full name of PPACA
Sources of funding for the PPACA
T/F - According to the PPACA, insurance companies may continue to deny health insurance coverage for pre-existing conditions.
Describe the following profisions as they apply to PPACA:
Employer Mandate
Individual Mandate
Health Insurance Exchange
CHIP - Definition - Select answers that are true regarding CHIP
Difference between "traditional" health insurance and "managed care"?
Based on your viewing of "Sick Around America,"
briefly explain the main health insurance issues
that were illustrated in the documentary.
Briefly define the following terms as they relate to health insurance in the United States:
Premium
Deductible
Co-Insurance
Network
Co-Pay/Copayment
HMO - What does it stand for
PPO - What does it stand for
Who is responsible for the day-to-day administration of the Medicaid program?
How is Medicaid funded? Be certain to include the
difference
in funding between expansion and non-expansion states.
What does the future of Medicare look like
and
why?
What does the future of Medicare look like
and
why?
Describe the following component parts of Medicare (e.g., what each part covers)
and
how each is funded.
Part A
Part B
Part C
Part D
Two things that are true about the Medicare and Medicaid System:
Medicaid is designed for low income adults, children, disabled, and elderly
Medicare covers end stage renal failure and ALS
List the three sides (the main responsibilities) of the Public Sector diagram and explain the meaning of each.
List the four main components of the U.S Healthcare Industry (hint: remember the colorful diagram we reviewed at the very beginning of the semester outlining all main components of our country's healthcare system). In addition, please explain each component and list examples of what each component consists of.
List the four main components of the U.S Healthcare Industry (hint: remember the colorful diagram we reviewed at the very beginning of the semester outlining all main components of our country's healthcare system). In addition, please explain each component and list examples of what each component consists of.
Match the following levels of acute care to the appropriate example:
Which of the following are considered long-term care?
Which of the following are, generally, part of the Hospital Staff (select all that apply)?
Which of the following are, generally, part of the Medical Staff (select all that apply)?
T/F - Members of the Hospital Staff and Medical Staff are employees of the hospital.
Which of the following are roles and/or responsibilities of a hospital Governing Board (select all that apply)?
Define and describe the following terms as they apply to physicians:
Board Certification:
Credentialing:
What is “Accreditation?” To whom or to what does the term apply? Is it mandatory or voluntary?
Include the name of at least one accrediting entity.
List the organizations responsible for investigating and enforcing violations of healthcare laws in
the US.
For each item below, indicate whether it applies to Not-for-profit (
NFP
) hospitals, For-profit (
FP
) hospitals, Both (
B
), or Neither (
N
).
Tax-exempt
Provide charity (free) care
Many are very profitable; some are not profitable
Utilize collection efforts, including legal action, to collect payment
Pay taxes
Provide treatment to low income government program patients (Medicaid)
More likely to only select profitable services to provide
May distribute dividends to shareholders
Must credential and privilege all physicians who apply for medical staff privileges
According to federal statute, must provide charity (free) care equal to 5% of operating expenses
More likely to provide unprofitable but needed services to patients and community
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