Question 1

The institution of payment according to one of eighty home health resource groups (HHRGs)  limits the payments to a provider over a 60 day period. No matter how many times a provider visits a home during the 60 day period, the price remains at the HHRG designated amount. This is an example of which stage of the financial reimbursement cycle?

Accepted Answer

A)   The First Stage: fees paid to trusted voluntary organizations.
B)   The Second Stage: cost reimbursements.
C)   The Third Stage: complex administered prices.
D)   The Fourth Stage: total cost control through global budgets adjusted to match growth in GDP.
E)   The Fifth Stage: start over.F) None of the above
G) B) and E)

Question 2

In the market for nursing home services, after reaching the quantity where the private market's willingness-to-pay matches the Medicaid reimbursement rate, demand becomes essentially perfectly elastic at the Medicaid reimbursement rate, as all remaining beds can typically be filled with Medicaid patients.

Accepted Answer

A) True 
 B)False

Question 3

Nursing homes set their prices by estimating the elasticity of demand for private pay patients. Typically, nursing homes first try to fill as many of their beds as possible with patients willing to pay prices above the Medicaid reimbursement rate. Only then they proceed to fill the remaining beds with Medicaid patients.

Accepted Answer

A) True 
 B)False

Question 4

After the CON legislation has been repealed in several states, how did the nursing home markets in those states respond? Who benefits when certificate of need legislation (CON) is repealed in the nursing home market?

Accepted Answer

Increased competition since 1990 has bee...

Question 5

Which of the following statements is incorrect?
The practice of transitioning post-acute-care hospital patients to nursing homes

Accepted Answer

A)   may generate some savings to Medicare due to shortened hospital stays.
B)   may overstretch Medicaid budget.
C)   is profitable for nursing homes because it fills beds that would otherwise stay empty for prolonged periods of time.
D)   aims to achieve system-wide cost savings due to substitution of expensive hospital care with less expensive nursing home care.
E)   has not really generated the level of system-wide savings that were originally anticipated because demand for new services provided outside of the hospital has exceeded savings from shortened hospital services.F) C) and D)
G) B) and E)

Question 6

Discuss your opinion about the efficiency (or lack of thereof) of the Medicaid reimbursement mechanism for nursing home care. Do you expect the Medicaid reimbursement mechanism for nursing home care to change in the future, or to remain as is? Why?

Accepted Answer

Long term care used to be a tiny portion...

Question 7

Payments to hospitals from private insurers can be characterized as having reached which stage of a typical financial reimbursement cycle?

Accepted Answer

A)   The First Stage: fees paid to trusted voluntary organizations.
B)   The Second Stage: cost reimbursements.
C)   The Third Stage: complex administered prices.
D)   The Fourth Stage: total cost control through global budgets adjusted to match growth in GDP.
E)   The Fifth Stage: start over.F) C) and D)
G) A) and E)

Question 8

It would be safe to predict that the graph showing the relationship between the individuals' income and nursing home utilization

Accepted Answer

A)   is positively sloped.
B)   is negatively sloped.
C)   has a U-shape.
D)   has an inverted U-shape.
E)   can be either positively sloped or U-shaped, depending on the assumptions about other demographic characteristics.F) B) and D)
G) B) and C)

Question 9

The existence of financial reimbursement cycles reflects the self-interest of all parties involved in the provision of medical and long term health care services.

Accepted Answer

A) True 
 B)False

Question 10

Medicare accounts for more than half of all nursing home funding.

Accepted Answer

A) True 
 B)False

Exam 10: Long-Term Care

The existence of financial reimbursement cycles reflects the self-interest of all parties involved in the provision of medical and long term health care services.

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Payments to hospitals from private insurers can be characterized as having reached which stage of a typical financial reimbursement cycle?

Correct Answer
verified

Discuss your opinion about the efficiency (or lack of thereof) of the Medicaid reimbursement mechanism for nursing home care. Do you expect the Medicaid reimbursement mechanism for nursing home care to change in the future, or to remain as is? Why?

Correct Answer
verified
Long term care used to be a tiny portion...
View Answer

Medicare accounts for more than half of all nursing home funding.

Correct Answer
verified

Which of the following statements is incorrect? The practice of transitioning post-acute-care hospital patients to nursing homes

Correct Answer
verified

Correct Answer
verified

After the CON legislation has been repealed in several states, how did the nursing home markets in those states respond? Who benefits when certificate of need legislation (CON) is repealed in the nursing home market?

Correct Answer
verified
Increased competition since 1990 has bee...
View Answer

It would be safe to predict that the graph showing the relationship between the individuals' income and nursing home utilization

Correct Answer
verified

Exam 10: Long-Term Care

The existence of financial reimbursement cycles reflects the self-interest of all parties involved in the provision of medical and long term health care services.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Payments to hospitals from private insurers can be characterized as having reached which stage of a typical financial reimbursement cycle?

Correct AnswerverifiedShow Answer

Discuss your opinion about the efficiency (or lack of thereof) of the Medicaid reimbursement mechanism for nursing home care. Do you expect the Medicaid reimbursement mechanism for nursing home care to change in the future, or to remain as is? Why?

Correct AnswerverifiedLong term care used to be a tiny portion...View AnswerShow Answer

Medicare accounts for more than half of all nursing home funding.

Correct AnswerverifiedShow Answer

Which of the following statements is incorrect? The practice of transitioning post-acute-care hospital patients to nursing homes

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

After the CON legislation has been repealed in several states, how did the nursing home markets in those states respond? Who benefits when certificate of need legislation (CON) is repealed in the nursing home market?

Correct AnswerverifiedIncreased competition since 1990 has bee...View AnswerShow Answer

It would be safe to predict that the graph showing the relationship between the individuals' income and nursing home utilization

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
Long term care used to be a tiny portion...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
Increased competition since 1990 has bee...
View Answer

Correct Answer
verified