MHA Health Policy and Advocacy 2

Question 1

What does 'EMTALA' require of hospital emergency departments?

Accepted Answer

To provide a medical screening exam and stabilizing treatment to anyone who presents, regardless of ability to pay

Answer

The Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals with emergency departments to screen and stabilize any patient presenting with an emergency condition, regardless of insurance or ability to pay.

Question 2

Which federal office investigates healthcare fraud and abuse under programs like Medicare and Medicaid?

Accepted Answer

Office of Inspector General (OIG) of HHS

Answer

The HHS Office of Inspector General investigates fraud, waste, and abuse in Medicare, Medicaid, and other HHS programs, issuing exclusions and civil monetary penalties.

Question 3

What is a 'health insurance exchange' (marketplace) established by the Affordable Care Act?

Accepted Answer

A regulated online marketplace where individuals and small businesses can compare and purchase health insurance plans

Answer

ACA marketplaces are regulated competitive insurance markets where qualified plans must cover essential health benefits, and income-based subsidies are available to eligible enrollees.

Question 4

What does the 'dual eligible' designation mean in US health coverage policy?

Accepted Answer

Individuals who qualify for both Medicare and Medicaid simultaneously

Answer

Dual eligibles are individuals who qualify for both Medicare (typically due to age or disability) and Medicaid (due to low income), with coordination between the two programs covering their costs.

Question 5

What is the '340B Drug Pricing Program' and who benefits from it?

Accepted Answer

A federal program requiring drug manufacturers to sell outpatient drugs at discounted prices to qualifying safety-net providers

Answer

The 340B program requires drug manufacturers participating in Medicaid to provide discounted outpatient drugs to eligible healthcare organizations that serve large numbers of low-income or uninsured patients.

MHA - Master of Healthcare Administration Practice Test

MHA - Master of Healthcare Administration Practice Test

MHA Health Policy and Advocacy 2