Health Policy

T/F medicare long term coverage covers homebound skilled care, but not personal care services.

T

T/F: children exposed to adverse events are twice as likely to their peers to experience mental disorder

T

T/F: formal and informal home care is best for individuals who need comprehensive care to recover from illness or injury, want to live at home and have social support.

T

T/F: incidence of depression is higher among elderly compared to general population

T

T/F: major depressive disorder is the single greatest source of disability in NYC?

T

T/F: LGBT youth in NYC schools experience as much as bullying and attempt suicide as straight kids

false, twice more likely

Time for math!!! If a SNF charges $ 300 a day, and Mr. D's health insurance has a 90 day deductible ( remember that in SNF, deductible is measured by days), and provides $200 coverage after deductible, then how much does Mr. D have to pay out of his own pocket? (don't consider the premium in this question)

54500

Which one of the following statement is not true regarding mental health in the U.S ? a. behavioral health compasses both mental illness and substance abuse disorders. b. Male is more likely to suffer mental illness compared to female in the States. c. U.S. has higher rates of death from accidental posioning such as drug overdoes compared to other countries.. d. Mental health and substance use disorders are the leading cause of disease burden in the U.S., bypass cancer and tumor.

B, female is more likely

T/F medicare long term coverage covers chronic care but not post acute care

F

T/F medicare long term coverage covers first 120 days after a hospital discharge in the nursing home

F, 100 days

T/F: socioeconomic status has no correlation with mental health among new moms in NYC

F, 20% of low income mothers have depression symptoms months after birth

T/F Among 1,000 CUNY undergrads, more than half of those who reported depressive symptoms, have received help from their college

F, only 10%

T/F Since most morbidity and mortality are caused by genetic factors, thus individual behavioral change does not reduce morbidity and mortality rate

F, positive changes in individual behavior can reduce morbidity and mortality

T/F: often people without employee based insurance are not eligible for medicaid and cannot afford private insurance, but are eligible for medicare.

F. Are not eligible for medicaid and medicare

T/F: underinsured means teenager who are under 16 are eligible for medicaid

F: underinsured means people's health insurance coverage has limitations that restricted access to needed services

Which type of service costs the most annually? a. nursing home b. assisted living c. adult day care d. home health aide

a

Match the following description with the facility a. non-residential facility that supports the health, nutritional social support & daily living needs of adults in professionally staffed, group settings. b. provides shelter and meals to persons who do not need nursing care or therapy but incapable of living independently. 1. group home 2. adult day program

a---2 b---1

Which one of the following is not a location where people can receive LTSS? a. SNF b. Nursing home c. Hospital d. Adult day programs

c

Which one of the following is true regarding medicaid coverage for LTSS? a. states have flexibility but generally must provide nursing facility and home health services b. HCBS are optional for states c. both a & b d. None of the above

c

Which one of the following statement best describes the differences between snf vs assisted living? a. assisted living provides assistive technology while snf usually only provides human medical care b. assisted living facility is expected to grow to over 2 million by 2025 while the number of snf is expected to decrease by then c. assisted living is best for individuals that require assistance with custodial care and supportive services and is usually long term. SNF is usually for rehab purpose and tends to be temporary. d. All above is true

c

where is most long term care provided? a. SNF b. Adult Day programs c. Informal care at home d. Group homes

c

which one of the following statements best describe health disparity? a. health disparity refers to higher burden of illness, disability or mortality among one group over another group b. health care disparity refers to differences between groups in health coverage, access to care and quality of care c. both a & b d. none of the above

c

Which one of the following statement is true regarding LTC at home? a. 85% of people needing LTC receive them from medical professionals b. There are more men than women who need LTC c. Absence of an informal caregiver is a common reason for nursing home placement d. Informal home care has no impact on US business

c. a is false b/c 85% receives care from family and friends b is false b/c 58% are women d is false b/c informal home care causes 11.4 billion worth lost of productivity

Which one of the following are environmental factors that have to be considered under Healthy People 2020? a. exposure to toxic substances and other physical hazards b. transportation c. both a &b d. none of the above

c. others include natural environment, housing, safety, work sites, schools, recreational settings and physical barriers

How can OT contributes to improve health disparity? a. OT can improve cultural competence and health literacy within own practice b. OT can partner up with community leaders and organizations of higher learning to improve accessibility of healthcare c. OT can contribute to improving coordination, collaboration and opportunities for soliciting community input on funding priorities and priorities in research. d. all of above

d

Which one of the following is NOT the reason why a person is uninsured? a. the person works for a employer who chooses not to provide health insurance b. the person is a self-employed adderall dealer c. the person is not working and plays 2k all day d. all could be the reasons why the person is uninsured

d

Which one of the following is not a finding according to the USA vs Canada health care research? a. health disparities on the basis of race, income and immigrant status are present in both countries, but appear to be more pronounced in Canada. b. Universal coverage appears to reduce most disparities in access to care c. compared to Canada, US residents are 1/3 more likely to have regular doctors d. both a & c

d

Which one of the following social factors are considered under Healthy People 2020? a. improve availability of resources to meet daily needs, such as educational/job opportunities, living wages and healthy foods. b. change negative social norms such as discrimination. c. increase exposure to mass media and emerging technologies, such as internet or cell phone. d. all are social factors that have to be considered

d

Which one of the following statement is true about LTSS? a. It includes health, social, housing, transportation and other supportive services needed by persons with physical, cognitive and/or mental limitations that impede a person's ability to be in ADL b. The need is evaluated by the person's difficulty with ADL and IADL c. With the aging of America, the demand for LTSS is expected to increase in the coming decades d. All statements are true

d

Which one of the following statement is true about new options for medicaid home and community based services? a. balancing incentive program aims to increase access to non-institutional LTSS b. Money follows the Person Demonstration eliminates barries in state law that restricts people who receive LTC to choose their own settings. c. Community First Choice makes it easier for states to offer home and community-based services to medicaid recipients who require institutional level of care. d. all of above

d

Who pays the most for long term care services? a. Private insurance b. Medicare c. United Health Care d. Medicaid

d

which following factors are not determinants of health? a. geographical location b. sexual orientation and gender identity c. mental health d. all are determinants

d

which one of the following factors of health services should be considered according to Healthy People 2020? a. lack of availability of health service b. culturally sensitive health care providers c. hospitalization that would have been prevented d. all are factors that should be considered

d

which one of the following statement is true about respite care? a. it provides a short-term relief for the primary caregiver who is usually family member b. it is temporary and could last from a day to weeks c. the admission criterion is that individual requires supervised medical treatment and nursing care that is provided by family or friends as primary caregivers. d. all of the above

d

which one of the following statements best describe health equity? a. health equity is the attainment of the highest level of health for all people. b. health equity is the equal payment that health providers share . c. health equity is when everyone has the opportunity to be as healthy as possible. d. both a & c

d

Which one of the following is NOT a reason why private health insurance coverage has decreased over the past decades? a. workforce shift from highly paid, largely unionized full time jobs to more low-wage, part time jobs whose employers are less likely to provide insurance. b. unstable-nature of employment c. cost of health insurance is too high and is unaffordable for many business and individuals d. US companies have outsourced most work overseas therefore they don't hire as many employees as before, which means less insurance coverage purchased

d, even sounds legit, is not mentioned in the slides

Which one of the statement about medicaid and MH is false? a. Medicaid is the largest source of financing b. Many with serious mental illness qualify for medicaid because they get supplemental security insurance c. CHIP mandates service of MH/SUD d. Medicaid managed care organizations do not have to follow federal parity

d, only medicare and medicaid fee-for-service do not have to follow parity

which one of the following is NOT a factor that causes greater obstacles to health ? a. socioeconomic status b. religion c. sexual orientation d. all could cause greater obstacles to health

d. c--LGBTQ population may not get same access to health care as straight folks

Which one of the following is a criterion to qualify for medicaid and LTSS? a. have limited assets b. low income c. have 1 or more self-care or household activities in need of care d. have supplemental security income e. all of above

e

Which one of the following is not a policymaking effort under the Healthy People 2020 ? a. decrease cigarette smoking b. increase awareness of wearing seat belt c. increase social awareness on obesity d. ACA includes medicaid expansion e. All are policymaking efforts

e

Which one of the following statements is true? a. with medicaid expansion, ABP must cover all ACA's essential benefits and comply with MH and SUD parity b. With medicaid expansion, now it expands community-based behavioral health benefits and eligibility to cover more people with behavioral health needs. c. Today, medicare still has 190 day limit on inpatient psychiatric hospital care. d. Medicare now adds psychologist and social worker to psychotherapy provider e. all are true

e