Federal matching funds for Medicaid are _______ to states at a ______ rate

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Economic Foundation of the US Healthcare Delivery System Questions

Question 1 of 5

Federal matching funds for Medicaid are _______ to states at a ______ rate

Correct Answer: B

Rationale: The correct answer is B because federal matching funds for Medicaid are guaranteed to states based on a variable rate determined by the Federal Medical Assistance Percentage (FMAP). This rate varies depending on the state's per capita income. This funding mechanism ensures that states receive a set percentage of federal funding for their Medicaid programs, which is not guaranteed at a fixed rate (option C) or not guaranteed at all (option A). Option D is incorrect as it suggests that the funds are fixed, which is not the case due to the variable nature of the FMAP.

Question 2 of 5

Which of the following statements about non-expansion states is/are true, according to the CRS’s overview of Medicaid expansion?

Correct Answer: D

Rationale: The correct answer is D. The Federal Medical Assistance Percentage (FMAP) rate refers to the share of Medicaid expenses paid by the federal government. Non-expansion states have the same FMAP rate as expansion states, as mandated by federal law. This is to ensure that states that did not expand Medicaid still receive the same federal funding support for their Medicaid programs as the expansion states. A: This statement is incorrect because Medicaid income eligibility for parents in non-expansion states varies and is not necessarily set at 100% of the Federal Poverty Level (FPL). B: This statement is incorrect because eligibility criteria for adults without dependent children in non-expansion states vary and may differ from state to state. C: This statement is incorrect because the distribution of individuals in the coverage gap varies among non-expansion states, not just limited to Texas and Florida.

Question 3 of 5

Which best explains why there are so few hospitals in rural areas?

Correct Answer: B

Rationale: The correct answer is B because rural areas typically have lower population densities compared to urban areas, resulting in fewer healthcare providers being needed. This is due to the lower demand for healthcare services in sparsely populated regions. Choice A is incorrect because lack of trust is not the primary reason for the scarcity of hospitals. Choice C is incorrect as advancements in transportation and telemedicine have helped overcome isolation challenges. Choice D is also incorrect as rural areas are known for their open spaces and lower population densities, making overcrowding unlikely.

Question 4 of 5

Which factor would cause a geographic area to be called a frontier area?

Correct Answer: A

Rationale: The correct answer is A because a frontier area is typically characterized by low population density, making it sparsely populated. A population growth of less than six persons per square mile aligns with this definition. On the other hand, choices B, C, and D are incorrect as they do not reflect the key characteristic of low population density associated with frontier areas. Choice B specifies a slightly higher population density threshold, while choice C refers to urbanization, which is not a defining feature of frontier areas. Choice D, rapid population growth, is contrary to the typical slow population growth associated with frontier regions.

Question 5 of 5

Which compositional factor influences rural health needs?

Correct Answer: A

Rationale: The correct answer is A because demographics and individual characteristics play a crucial role in determining rural health needs. Factors such as age, gender, income level, education, and cultural background directly impact healthcare access and utilization. Understanding these characteristics helps tailor healthcare services to meet specific needs. Choice B, geography, and local environment can influence health outcomes but are not the primary determinant of health needs. Choice C, access to resources, is important but is a result of demographic factors. Choice D, political structure, may indirectly impact healthcare provision but is not a direct influencer of health needs in rural areas.

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