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PUBH 302 EXAM 2 QUESTIONS AND ANSWERS 2024
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PUBH 302 EXAM 2 QUESTIONS AND ANSWERS 2024
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PUBH 302 EXAM 2By 2034, the 65+ population will outnumber children for the first time in US
history. What implications does this have for healthcare? - ANSWERS-- Older
persons tend to use more healthcare services
- Often have comorbid (chronic) conditions
- Living on fixed incomes
How is medicare funded? - ANSWERS-- Payroll taxes, premiums, etc
- Medicare Part A is paid by payroll taxes (employers & employees)
- Medicare Part B paid partially by premiums
Diversity in the US population - ANSWERS-- Population is no longer a majority of
whites
- Seeing tremendous projected growth in Hispanic population
- As time goes on, we have become more diverse
What are the implications for how we provide healthcare to an increasingly
diverse population? - ANSWERS-- Different characteristics of different people
- Have to treat in a way that shows cultural respect
- Training to provide good quality care to anyone
- Importance of including all kinds of races and ethnicities in healthcare. Research
shows people want to go to people who look like them
,Family Structure - Income - ANSWERS-- More african american children live in
single parent households than white children
- 18% of US children live in poverty, leading to less access to resources (such as
healthy foods, safe neighborhoods conducive to good health, etc)
- Married parents are more likely to have college degrees
- Married parents earn more (health wealth gradient)
Low income patients with or without insurance coverage - ANSWERS-- More likely
to forgo care because of cost
- Worries about affordability are exacerbated by not knowing the cost of services
in advance
- Time away from work and other responsibilities (Non-traditional hours for
appointments; telehealth?)
- Poor experiences with care and distrust of providers
What trend was seen after the ACA was implemented for 10 years? - ANSWERS-
increased # of americans with health insurance, mostly from medicaid expansion
T or F: the ACA stopped high, rapidly rising health care costs - ANSWERS-false
What two delivery system reforms had limited success? - ANSWERS-- Hospital
readmission reduction program (HRRP)
- Medicare accountable care organizations/bundled payments
, What does the public think about private health insurance? - ANSWERS-- Many
opposed to putting health insurance into the public domain and moving away
from private sectors
- People like having control over their health insurance and the ability to choose a
plan
Fill the blank: Medicaid is a _____ _____ between the states and the federal
government - ANSWERS-cost share
What trend is seen among employers in terms of employee health insurance? -
ANSWERS-Lots of employers are moving towards high deductible plans and give
employees money each year for their HSA
In terms of cost, access, and quality of care, what should be done instead of fee-
for-service? - ANSWERS-- Shift from fee-for-service -> value/quality
- Hold providers accountable for the ultimate costs, quality, and outcomes of their
services (ex. ACOs)
T or F: there is a shortage of physicians being seen in the US - ANSWERS-True;
now seeing growth of APRN and PAs
Why would we want to pay to keep people out of hospitals? - ANSWERS-- care is
usually cheaper when it is not in the hospital
- push to deliver home-based care, telemedicine
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