Eastern HSA3223 Chapter 11 Discussion Latest 2019 September
HSA3223 Management of Long Term Care Facilities
Chapter 11 Discussion
Answer at least two of the following questions:
(all questions must be answered at least once before repeating questions)
1. What do we mean when we say that the long-term care system is reimbursement driven?
2. Who is covered by Medicare? Medicaid?
3. What long-term care services does Medicare cover? What restrictions are placed on them?
4. What long-term care services does Medicaid cover? What restrictions are placed on them?
5. What is the spend-down provision of Medicaid, and why is it controversial?
6. What is the purpose of waiver programs?
7. What are public/private partnerships?
8. Why has managed care taken hold more slowly in long-term care than in other segments of health care?
9. What are the most common forms of managed care organizations?
10. What is the managed care consumer bill of rights, and why is it needed?

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