Under Medicaid managed care delivery system
QUESTION 21 Under Medicaid managed care delivery system O Healthcare providers deliver health benefits and services to Medicaid enrollees through contracted arrangements between state Medicaid agencies and managed care organizations O state governments provide all Medicaid services through one state agency O Federal government determines the prices healthcare providers charge for their services O State governments place a maximum limit on spending for Medicaid spending and once the limit is reached services are cut off QUESTION 22 The underlying assumption of consumer-directed health care plans is that O Consumers would make more informed choices and forego unnecessary medical care if they had to use more of their own money to pay for it O It would exacerbate the problem of moral hazard in health insurance market O Consumers will engage in more risky and wasteful health behavior All of the above QUESTION 23 The Centers for Medicare and Medicaid Services under the Trump administration issued new guidelines for states seeking Section 1115 demonstration project waivers seeking to impose a work requirement on "able-bodied" individuals. The exceptions to the "work requirements" include O Children O Individuals with disabilities O Pregnant women O All of the above QUESTION 24 Which Medicaid beneficiary group is the costliest? O Elderly O Children O AFDC recipients O Disabled QUESTION 25 According to the authors, why are states encouraging/requiring Medicaid beneficiaries to enroll in managed care? O The belief that it will significantly help reduce program costs O The belief that it will provide beneficiaries better access to high-quality care O It fits into the general trend toward privatization O All of the above
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