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1. 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

Operation Management, Management Studies

  • Category:- Operation Management
  • Reference No.:- M93126177

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