Key Terms
History of the ACA
Initiatives of the ACA
Reimbusement
100

The goal of this payment approach is to improve care coordination and to control the cost of an episode of care

What is bundling?

100

The provision that requires most individuals to purchase health insurance or pay a penalty. 

What is individual mandate?

100
Voluntary, employment based public long term care insurance program intended to provide a private financial base for disability related services and supports during working years and in old age; never came into existence 

What is CLASS Act?

100

Umbrella term for initiatives aimed at improving quality, efficiency, and overall value of healthcare. 

What is Pay for Performance?

200

The 2.3% increase imposed by the ACA to help fund the act. 

What is Medical Device Tax?

200

Requiring policies to be issued regardless of any medical condition, allowing people age 26 and younger to be covered by parent's insurance. 

What are the most popular portions of the ACA?

200

This intended to allow people to more easily receive services in the community rather than being in a hospital or nursing home.

What is Community First Choice Option?

200

Model that coordinates care by physicians, hospitals and long term care providers; goal is to reduce hospital readmission, reduce quality variations and manage risk

What are Accountable Care Organizations?

300
Obamacare

What is the nickname of the Affordable Care Act?

300

$716 billion by 2022

What is the cost of the Affordable Care Act? 

300

Shortened the nursing home residency requirement from 180 to 90 days; designed to keep consumers out of costly instituations

 What is "Money Follows the Person" program?

300

Type of Medicare health plan offered by private companies that contract with Medicare to provide Part A&B benefits

What are Medicare Advantage Plans?

400
Allows the spouse of a nursing home facility resident (and now that receive home and community based services as well) to keep a minimum share of the couple's combined income

What is spousal impoverished act?

400

The president that was in office when the ACA was initially enacted.

Barack Obama

400
Supports state efforts to streamline access to long term care services and supports simplify access to long term care services for the elderly and individuals with disabilities

What is "No Wrong Door" system?

400

This program helped to provide a higher federal match for all spending on home and community care through September 2015.

What is Balancing Incentive Payments program?

500
Designed to be a person centered system of care that facilitates access to and coordination of the full array of primary and acute physical health services, behavioral health care and long term community based services and supports

What are Health Homes?

500

The length of the original ACA bill passe by the Senate.

What is 2000+ pages?

500

New Medicare/Medicaid coordination office with the CMS was created thanks to this initiative. 

What is the Dual Eligible initiative? 

500
Under this model, payment is made to a single entity for a defined episode of care rather than individual payments to individual service providers

What is the Bundled Payments for Care Improvement initiative? 

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