Health: The Basics, The Mastering Health Edition (12th Edition)
12th Edition
ISBN: 9780134183268
Author: Rebecca J. Donatelle
Publisher: PEARSON
expand_more
expand_more
format_list_bulleted
Question
Chapter 16, Problem 10PQ
Summary Introduction
To determine: The key provision of ACA (Affordable Care Act).
Introduction:
Health insurance will pay the buyer of the insurance for the health care services undertaken by them. Whatever medical treatment is undergone, the insurance carrier will cover for the charges incurred by the buyer. At first, the buyer of the insurance will have to pay some percentage of amounts in the hospital. On submission of the bills, the insurance carrier will settle the appropriate amount.
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solutionStudents have asked these similar questions
Which of the following is not at all determined by where you live?
a. eligibility for Medicaid
b. eligibility for Medicare
c. risk for cardiovascular disease
d. cost of a health insurance premium
e. access to prenatal support services
The acronym for Long Term Care Providers’ Prospective Payment system methodologies is:
a. APCs
b. OPPS
c. RBRVS
d. RUGs
a. Name and explain any four properties of health care services.
b. What are the characteristics of services that make scheduling them
difficult?
c. Describe a customer-as-participant health service operation and give a
practical example.
d. Briefly explain and describe work-shift scheduling in health care service
operations.
Chapter 16 Solutions
Health: The Basics, The Mastering Health Edition (12th Edition)
Ch. 16 - Do you believe that patients should have access to...Ch. 16 - Prob. 2WDYTCh. 16 - Why is it important that private insurance cover...Ch. 16 - Prob. 4WDYTCh. 16 - Prob. 5WDYTCh. 16 - Do you or your friends use any complementary...Ch. 16 - Prob. 7WDYTCh. 16 - Prob. 8WDYTCh. 16 - Prob. 1WDYSCh. 16 - Prob. 2WDYS
Ch. 16 - Prob. 3WDYSCh. 16 - Prob. 4WDYSCh. 16 - Prob. 5WDYSCh. 16 - Prob. 1PQCh. 16 - Prob. 2PQCh. 16 - Which medical practice is based on treating the...Ch. 16 - Prob. 4PQCh. 16 - Prob. 5PQCh. 16 - What is the term for an amount paid directly to a...Ch. 16 - The most restrictive type of managed care is a....Ch. 16 - Prob. 8PQCh. 16 - Prob. 9PQCh. 16 - Prob. 10PQCh. 16 - List several conditions for which you wouldnt need...Ch. 16 - Describe your rights as a patient. Have you ever...Ch. 16 - What is the most common form of medicine practiced...Ch. 16 - What are the inherent benefits and risks of...Ch. 16 - Prob. 5TAICh. 16 - Discuss how the Affordable Care Act (ACA) has...Ch. 16 - Prob. 1AYCh. 16 - Prob. 2AYCh. 16 - Prob. 3AYCh. 16 - Prob. 4AYCh. 16 - Prob. 5AYCh. 16 - Prob. 6AYCh. 16 - Prob. 7AYCh. 16 - Did you take medication as directed?Ch. 16 - Prob. 9AYCh. 16 - Prob. 10AYCh. 16 - Prob. 11AYCh. 16 - Prob. 12AYCh. 16 - Prob. 13AYCh. 16 - Prob. 14AYCh. 16 - Prob. 1AYACh. 16 - Prob. 2AYACh. 16 - Prob. 3AYACh. 16 - Prob. 4AYACh. 16 - Prob. 5AYACh. 16 - Prob. 6AYACh. 16 - Prob. 1PQACh. 16 - What type of medicine addresses imbalances of qi?...Ch. 16 - Prob. 3PQACh. 16 - Prob. 4PQA
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, health-nutrition and related others by exploring similar questions and additional content below.Similar questions
- A proxy directive indicates... A. a person to make medical decisions B. specific interventions the patient does not want C. a notarized statement of the patient's beliefs and valuesarrow_forwardDescribe how the ACA has expanded access to health insurance.arrow_forward1. Describe how the providers can get reimbursed for their services with this financing/payment system &from the provider perspective, what does this mean in terms of incentives and utilization/ordering of services? a. physician fee-for-service b. prospective payment c. HMO capitationarrow_forward
- 11) 1 11 I The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include? Normal A. Breastfeed frequently. B. Inspect the infants' ears daily. C. Avoid smoke exposure. D. Position prone after feeding. No S 12) A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare provider prescribes diazepam 0.3 1/mlyarrow_forwardIndividuals without a Group Plan can receive coverage under the BCBS Plan. A Indemnity B Fee-for-Service Major Medical (D EPOarrow_forwardWhat types of Complementary and alternative medicine therapies might help the patient Feel less tired? (give examples and meanings)arrow_forward
- 7. Prior to the 2010 Affordable Care Act (ACA), what requirements did the Internal Revenue Service (IRS) impose on tax-exempt hospitals as a condition of maintaining their tax-exempt status A. Provide charity care in the amount that was equal to or greater than the value of the hospital's tax-exempt status B. Provide all of its services to all residents of the community who are unable to pay for their care C. Provide charity care in an amount that was equal to or greater than 3 percent of the hospital's gross revenues in each calendar year D None of the above 8. When a court interprets the meaning of a statute. what is the responsibility of the court? A. To determine the best social policy for addressing the problem raised by the case before court B. To determine and carry out the intent of the legislature that enacted the statute C. To decide the case in accordance with prior decisions of the common lav D. All of the abovearrow_forwardWhat are the provisions of the False Claims Act in healthcare reimbursements?arrow_forwardNursing students are reviewing information about healthcare delivery systems in preparation for a quiz the next day.Which statements describe current U.S. health care deliverypractices? Select all that apply.a. Access to care depends only on the ability to pay, not theavailability of services. b. The Patient Protection and Affordable Care Act pro-vides private health care insurance to the underserved populations.c. Every health insurance plan in the Marketplace offerscomprehensive coverage, from doctors to medications tohospital visits.d. The uninsured pay for more than one-third of their care outof pocket and are usually charged lower amounts for theircare than the insured pay.e. Fifty years ago, half of the doctors in America practicedprimary care, but today fewer than one in three do.f. Quality of care can be defined as the right care for the rightperson at the right time.arrow_forward
- long-term care services must be varied because: (Level 1) Group of answer choices a. Individuals have varied needs b. Individual needs remain fairly constant over time c. Neither a nor b d. Both a and barrow_forward1) A caregiver decides that they need short-term respite from providing support to a loved one. Why might this be? a.The person needs time to renew their energy in order to continue providing care b.Taking a break can help to maintain a healthier relationship with their loved one c.The person needs to connect with other aspects of who they are in addition to being a caregiver d.All of the answers are correct a and b only 2) When teaching an independent older adult patient how to self-administer insulin, the most productive approach is to: * a. facilitate involvement in a small group where the skill is being taught. b. gather information about the patient's family health history. c. provide frequent, competitive skills testing to enhance learning. d. use repeated return demonstrations to promote the patient's retention of the involved tasks. 3) Nurses' knowledge of sexuality in the older adult population should include: * point Chronic illness may affect the ability to participate in…arrow_forwardWhich of the following evaluates hospitals for improvement and achievement regarding clinical processes of care and patient experience for Medicare recipients? OA. Hospital VBP Program B. Hospital Readmissions Reduction Program C. Institute for Healthcare Improvement Model for Improvement OD. National Quality Strategy (NQS)arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
- Comprehensive Medical Assisting: Administrative a...NursingISBN:9781305964792Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy CorreaPublisher:Cengage LearningCase Studies In Health Information ManagementBiologyISBN:9781337676908Author:SCHNERINGPublisher:CengageUnderstanding Health Insurance: A Guide to Billin...Health & NutritionISBN:9781337679480Author:GREENPublisher:Cengage
- Essentials Health Info Management Principles/Prac...Health & NutritionISBN:9780357191651Author:BowiePublisher:Cengage
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning
Case Studies In Health Information Management
Biology
ISBN:9781337676908
Author:SCHNERING
Publisher:Cengage
Understanding Health Insurance: A Guide to Billin...
Health & Nutrition
ISBN:9781337679480
Author:GREEN
Publisher:Cengage
Essentials Health Info Management Principles/Prac...
Health & Nutrition
ISBN:9780357191651
Author:Bowie
Publisher:Cengage
Infection Prevention and Control; Author: thecityoftoronto;https://www.youtube.com/watch?v=jx9sRYmBW3Q;License: Standard Youtube License