Author Question: A client has recently begun receiving Social Security benefits and is asking the nurse about what ... (Read 23 times)

jace · **on:** Jul 11, 2018

A client has recently begun receiving Social Security benefits and is asking the nurse about what services might be included or excluded under Medicare. Which of the following services is most likely to be excluded from Medicare funding?

A) Hospital care
B) Hospice care
C) Rehabilitation care
D) Nursing home care

Question 2

A nurse is teaching an older adult about possible involvement in Programs of All-inclusive Care for the Elderly (PACE). Which of the following statements by the older adult shows understanding?

A) PACE programs provide several social and medical services on a managed care basis.
B) PACE programs provide a cost-effective alternative to hospital-based acute care.
C) PACE programs are more expensive than fee-for-service models but offer better health outcomes.
D) There is pressure for Medicare and Medicaid to begin funding PACE programs.

bigsis44 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: D
Medicare was established as a means of funding some types of direct client medical care, hospice and rehabilitation care may be covered, but nursing home residence is not.

Answer to Question 2

Ans: A
PACE programs provide a range of services using a capitated managed care model. They are focused on meeting the needs of adults with chronic conditions and are not an alternative to in-hospital treatment of acute illness. They are less expensive than fee-for-service models and presently are receiving funding under both Medicare and Medicaid. The 2010 Affordable Care Act provides incentives for further expansion of PACE programs.