Mha 707 Exam D Study Guide Complete With Solutions

What quality improvement came form Batalden and Nelson? {Ans: scorecards and dashboards}How did ACA aim to reduce health care cost? {Ans: -Medicare fraud, excessive payment for prescription drugs, shift cost to the state (stronger federal partnership in Medicaid), series of HC reforms would save $349 billion by 2021 and $480 billion by 2023, $1 Trillion in the following decade}What are pre-existing conditions and guaranteed issue? {Ans: Made changing employer/insurance practical and more fair Helped many who could not get insurance because of early life events Removed disincentives to practice "less-healthy" lifestyles stop smoking, lose weight, etc. Allowed people to "game the system" - buy insurance only when a health problem arises and be uninsured (not pay premiums) otherwise.}What are useful purposes for Quality measures? {Ans: >Evaluating and Benchmarking performance >Comparing interventions >Comparing patient groups >Monitoring changes over time >Identifying substandard or exceptional performance Ex: Best practices, P4P}Do {Ans: •Carry out the test •Document problems and unexpected observations}Changes for Insurance companies {Ans: -Face competition from insurance plans by health systems (direct contracting) -Access for providing services related to the insurance operations at health systems -Single-payer, medicine for all}