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1. Which of the following is a key difference between Medicare and
Medicaid managed care plans?
a) Medicare plans are federally funded, while Medicaid plans are statefunded.
b) Medicare plans cover people who are 65 or older, while Medicaid plans
cover people with low income or disabilities.
c) Medicare plans are voluntary, while Medicaid plans are mandatory for
eligible beneficiaries.
d) *All of the above*
Rationale: Medicare and Medicaid managed care plans differ in their
funding sources, eligibility criteria, and enrollment options. Medicare plans
are financed by the federal government through payroll taxes and
premiums, while Medicaid plans are jointly funded by the federal and state
governments through taxes and matching payments. Medicare plans cover
people who are 65 or older, disabled, or have end-stage renal disease, while
Medicaid plans cover people with low income or disabilities who meet
certain eligibility requirements. Medicare plans are voluntary, meaning that
beneficiaries can choose to enroll in a managed care plan or stay in the
traditional fee-for-service program, while Medicaid plans are mandatory for
most eligible beneficiaries, meaning that they have to enroll in a managed
care plan if one is available in their state.
2. What is the main advantage of managed care for Medicare and Medicaid
beneficiaries?
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