Question

. Which of the following represents the largest group of individuals in the Medicaid program? A....

. Which of the following represents the largest group of individuals in the Medicaid program?
A. Persons who are low income with dependents
B. Persons who are poor and aged
C. Persons who are in nursing homes or specialized facilities
D. Persons who are poor and disabled
2. Which statement is not true regarding why specialized plans are more successful in Medicaid managed care?
A. Medicaid focused plans are only owned by health systems.
B. Medicaid focused firms develop skills in meeting complex needs of members.
C. Many private sector-focused firms do not sell the kinds of products Medicaid wants.
D. Dealing with state bureaucracies requires specialized experience and expertise.
3. Which of the following is NOT a reason for the growing interest in Medicaid programs developing plans to serve dually eligible beneficiaries who also have Medicare coverage?
A. The Medicare Modernization Act created a new category of plan for those Medicaid programs
B. Care of dually eligible beneficiaries is often fragmented because the care is paid for by two distinct programs
C. Dually eligible persons are eager to enroll in prepaid health plans
D. Development of special plans for dually eligible persons allows plans to access news potential
4. Which of the following groups represent the largest expenditures for the Medicaid program?
A. Poor children
B. Low income mothers with children
C. Persons with mental illness
D. Persons receiving long term care in nursing homes
5. What safety net providers were developed in the last 40 years to bridge and close the access gap for Medicaid beneficiaries?
A. FQHCs
B. RHCs
C. Community clinics, mental health clinics and outpatient clinics
D. All of the above
6. What is the single most significant piece of social legislation since 1965?
A. Omnibus Budget Reconciliation Act of 1989
B. The Patient Protection & Affordable Care Act of 2010
C. Balanced Budget Act of 1997
D. Deficit Reduction Act 1984
7. What is the single largest factor contributing to poor health outcomes?
A. Health literacy
B. Complex healthcare needs
C. Poverty
D. Unemployment

Homework Answers

Answer #1

One out of every five elderly Americans faces each day on a limited income with little flexibility for extra or unexpected medical expenses. When medical care is needed, these 6 million poor and near-poor elderly Americans depend on Medicare for assistance with their medical bills. The universal coverage of Medicare assures them entry to America's health care system and offers protection from financial catastrophe when illness strikes. However, gaps in the scope of Medicare's benefits and financial obligations for coverage can result in onerous financial burdens.

Low-income elderly people are particularly vulnerable because they are more likely to be experiencing health problems that require medical services than those who are economically better off, but are less able to afford needed care because of their lower incomes. Even routine care, such as physician visits or prescription drugs, can require older and poorer beneficiaries to make hard choices between basic necessities and needed health care services. Medicaid serves as an important complement to Medicare by assisting low-income Medicare beneficiaries with their Medicare premiums and cost-sharing and by providing coverage for prescription drugs and long-term care (LTC) services that are not available through Medicare. Without Medicaid's assistance, the costs of basic medical care can impede access to care and erode financial security for low-income elderly people.

This article profiles the economic and health status of the low-income elderly population served by Medicare, assesses the impact of Medicare, and examines the role Medicaid plays as a supplement to Medicare. Particular emphasis is given to the burdens medical expenses impose on low-income elderly people, the extent to which coverage to supplement Medicare can assist in alleviating the impact of financial burdens on access to care, and the implications of potential changes in the scope and structure of Medicare and Medicaid for the elderly low-income population.

Poverty and Illness in the Elderly Population

Despite general improvements in the economic situation of the elderly population over the last 3 decades, many elderly Americans continue to struggle to pay living expenses on low or modest incomes. Forty-one percent of the Nation's 31 million elderly people living in the community have incomes below twice the Federal poverty level (FPL) and 1 in 5 are poor or near-poor (U.S. Bureau of the Census, 1996).

In 1994, the FPL was $7,100 per year in income for a single elderly adult and $9,000 for an elderly couple. Twelve percent of the elderly population—3.7 million people— had incomes below the poverty level and another 7 percent—2.2 million people— were near-poor with incomes between 100 and 125 percent of FPL (Figure 1).1 Together, these 5.9 million poor and near-poor people comprise Medicare's non-institutionalized low-income elderly population. Another 1.4 million elderly reside in nursing homes and receive assistance from Medicaid (Lyons, Rowland, and Hanson, 1996).

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
If an insurer incorrectly estimates an insured person's premium , then the insurer will suffer a...
If an insurer incorrectly estimates an insured person's premium , then the insurer will suffer a financial loss. can appeal to the state insurance commissioner for a subsidy. will drop people whose medical expenses exceed their premium. None of the above Medicare Part B (physician and outpatient services) is financed by a premium that is 75 percent subsidized by the government and 25 percent subsidized by the aged. a payroll tax on both the employee and the employer. a premium...
1. What is NOT considered one of Medicare Access and Children’s Health Insurance Program Reauthorization Act...
1. What is NOT considered one of Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015 (MACRAs) most important changes to how Medicare pays health care providers who care for beneficiaries?                              [A]       Establish two payment options             [B]       Incentivize practice transformation             [C]       Establish only one new payment option             [D]       Repeal the SGR formula 2. What is NOT an example of price control?                [A]       Hiring experienced workers             [B]       Reduction in quality in...
The federal program of health insurance for the elderly and some disabled individuals is   called Medicare...
The federal program of health insurance for the elderly and some disabled individuals is   called Medicare CHIP Medicaid VA A way of making up losses in health insurance by charging more to the insured is termed The “Robin Hood” theory Co-Payment A Premium Cost Shifting An example of Cost Sharing would be Package Pricing A Beneficiary A Co-Payment A Single Payer System The Affordable Care Act will have an impact on what portion of a select groups (high earners) pay...
A High Deductible Health Plan is usually combined with A Health Savings Account Plan Medicaid A...
A High Deductible Health Plan is usually combined with A Health Savings Account Plan Medicaid A Catastrophic Health Plan Medicare The Affordable Care Act offers Subsidies on Health Plans to which of the below financially qualified groups To those who Financially Qualify and apply on the Health Care Marketplace Only on Family Plans To all those who Financially Qualify no matter how they apply Only to Non-smokers The policy agenda of interest groups is typically reflective Of the interests of...
According to the text, which statement or statements regarding managed care is/are correct? (Level 2) Group...
According to the text, which statement or statements regarding managed care is/are correct? (Level 2) Group of answer choices a. While both Medicare and Medicaid beneficiaries may enroll in managed care, few Medicaid beneficiaries do so. b. Managed care has now become a mature health care delivery model. c. Mandatory enrollment in Medicare now exists in most states. d. Managed care has not yet experienced a backlash. e. None of the above Ingland, Nicole, Faria, and Bob are talking about...
Which of the following statements is true? Select one: a. The experience of Aboriginal people in...
Which of the following statements is true? Select one: a. The experience of Aboriginal people in mental health services remains poor, with health professionals often failing to provide care that is respectful and culturally safe b. The experience of Aboriginal people in mental health services remains sound, with health professionals always providing care that is respectful and culturally safe c. Aboriginal people would prefer not to attend mental health services, with or without culturally appropriate care d. Aboriginal people who...
Which of the following statements is true? Select one: a. The experience of Aboriginal people in...
Which of the following statements is true? Select one: a. The experience of Aboriginal people in mental health services remains poor, with health professionals often failing to provide care that is respectful and culturally safe b. The experience of Aboriginal people in mental health services remains sound, with health professionals always providing care that is respectful and culturally safe c. Aboriginal people would prefer not to attend mental health services, with or without culturally appropriate care d. Aboriginal people who...
Which of the following would contribute to the high price of health care? Choose one or...
Which of the following would contribute to the high price of health care? Choose one or more: A. Supply of health care is limited. B. Many people use Medicare and Medicaid. C. Demand for health care is relatively elastic. D. There are many providers of health care in the industry. E. Demand for emergency care is relatively inelastic.
Which statement best describes the use of "report cards" to compare health plans? a. They provide...
Which statement best describes the use of "report cards" to compare health plans? a. They provide aggregated information rather than for particular medical conditions. b. They attract consumers to better-rated health plans. c. They make clear to consumers the relative importance of survival rates for various conditions. d. They provide insufficient detail to satisfy consumers' demands. QUESTION 27 You have learned that policymakers have delegated to insurance companies responsibility for drug coverage decisions and for price negotiations with pharmaceutical companies....
Which of the following medical plans represents government-based health insurance to people 65 years of age...
Which of the following medical plans represents government-based health insurance to people 65 years of age and over? long-term care insurance Social Security Medicaid Medicare Private Company HMOs The Principle of Indemnity states that insurance coverage a. should not be renewed after an adverse event occurs. b. should not be renewed at the same premium after an adverse event occurs. c. should be equal at all times to 80% of the loss or expense. d. should not be less than...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT