Deck 1: The Origins of Health Insurance

Question 1

Congress passed the Health Maintenance Organization Act in:

A) 1950.
B) 1965.
C) 1973.
D) 1987.

Answer 1

1973.

Question 2

Factors listed in the text that drive healthcare issues include all of the following except:

A) regulating managed care plans.
B) expanding access for uninsured Americans.
C) increasing genetic testing.
D) stabilizing emergency services.

Answer 2

increasing genetic testing.

Question 3

The business of protecting,through legal means,a person or property against loss or harm is referred to as:

A) prevention.
B) insurance.
C) a contract.
D) preclusion.

Answer 3

insurance.

Question 4

The "graying of America" refers to those who:

A) are 65 years of age or older.
B) work in "blue collar" jobs.
C) do not have a high school diploma.
D) are not American citizens.

Question 5

A system of healthcare payment or delivery arrangements in which the plan attempts to control the use of services by its enrolled members to contain expenditures and/or improve quality.

A) Managed healthcare
B) Fee-for-service
C) Health insurance exchange
D) Indemnity insurance

Question 6

One of the new healthcare laws enacted in 2010 that brought major changes to how Americans can get access to healthcare more easily is the:

A) Health Insurance Portability and Accountability Act (HIPAA).
B) Health Maintenance Organization (HMO) Act.
C) Patient Protection and Affordable Care Act (PPACA).
D) Consolidated Omnibus Budget Reconciliation Act (COBRA).

Question 7

A set of government-regulated,standardized plans eligible for federal subsidies from which individuals can purchase low-cost health insurance.

A) COBRA plans
B) Health insurance exchanges
C) Indemnity plans
D) Managed care plans

Question 8

Many employed individuals obtain healthcare coverage through a/an:

A) group plan.
B) individual policy.
C) government-sponsored program.
D) guaranteed insurance pool.

Question 9

In the United States,the "birth" of health insurance occurred in:

A) 1889.
B) 1900.
C) 1915.
D) 1929.

Question 10

Health insurance narrows down undesirable events to:

A) illnesses and injuries.
B) automobile accidents.
C) preventive illnesses.
D) preexisting conditions.

Question 11

The combined federal and state healthcare program for indigent and low-income individuals is:

A) Medicare.
B) Medicaid.
C) Blue Cross.
D) health maintenance.

Question 12

The situation in which patients pay a certain portion of healthcare costs (e.g.,deductible and copayment)is called:

A) cost sharing.
B) equalizing.
C) standardizing.
D) community rating.

Question 13

The federal healthcare program for the elderly and certain qualifying others is:

A) Medicare.
B) Medicaid.
C) Blue Cross.
D) health maintenance.

Question 14

Fee-for-service healthcare plans are also referred to as:

A) managed care.
B) preventive plans.
C) indemnity insurance.
D) health maintenance organizations.

Question 15

The Patient Protection and Affordable Care Act was passed in:

A) 1999.
B) 2005.
C) 2008.
D) 2010.

Question 16

Which of the following is not a provision of HIPAA?

A) Allows portability of health insurance coverage
B) Protects workers and their families from preexisting conditions
C) Establishes national standards for electronic healthcare
D) Addresses the high cost of health insurance

Question 17

Securitas is the Latin term for:

A) services.
B) specialist.
C) security.
D) success.

Question 18

Recent healthcare reform has introduced two new types of healthcare plans that the text mentions are "on the horizon" are:

A) Medicare and Medicaid.
B) Health Insurance Exchanges and Accountable Care Organizations.
C) SCHIP and COBRA.
D) HMOs and HIPAA.

Question 19

The acronym for the congressional act that standardized electronic data interchange,enhanced confidentiality and security of patient information as well as other health-related matters is:

A) AMA.
B) COBRA.
C) HIPAA.
D) EMTLA.

Question 20

The program that provides insurance for qualifying children who are ineligible for Medicaid but cannot afford private insurance is called:

A) CHIP.
B) COBRA.
C) ARRA.
D) HIPAA.

Question 21

A condition or illness that is in existence before an individual's healthcare coverage begins is called a/an ____________________.

Question 22

Usually,there are no deductibles to be met or claim forms to be completed with HMOs.

Question 23

The type of healthcare policy that a business entity frequently offers its employees is called a/an ___________________ policy.

Question 24

Healthcare plans that provide cost-effective care while attempting to contain expenditures are referred to as ____________________.

Question 25

Under HIPAA,employees who quit their jobs or are laid off can extend their group healthcare coverage for up to 5 years.

Question 26

The out-of-pocket expense that patients must pay before insurers begin paying benefits is called a/an ____________________.

Question 27

The two basic types of health insurance plans are indemnity and managed care.

Question 28

Justin Ford Kimball introduced a health plan in Dallas in 1929 that evolved into what is known today as Medicare.

Question 29

The federal act that allows employees who quit their jobs or get laid off to extend their group coverage is known by the acronym ___________________.

Question 30

Medicare provides healthcare coverage for qualifying low-income individuals.

Question 31

A health insurance exchange is an organized and competitive market that offers a choice of plans with common rules governing cost and provides information so consumers can understand the choices available to them.

Question 32

The transformation of health insurance from what it was in the beginning to what we know it to be today can be compared with an organic process referred to as __________.

Question 33

In 1850,the Franklin Health Assurance Company began offering medical expense coverage,similar to today's health insurance,in the state of ____________________.

Question 34

Media coverage is instrumental in keeping healthcare costs down.

Question 35

The amount of money an individual pays in return for health insurance coverage is called a/an ____________________.

Question 36

Under the new healthcare law,ACOs agree to manage all of the healthcare needs of a minimum of 5,000 Medicare beneficiaries for at least 3 years.

Question 37

The two basic types of healthcare are ___________________ and ____________________.

Question 38

Healthcare providers and companies that sell insurance have determined it is less costly to prevent serious illnesses than to treat them after they emerge.

Question 39

The two major sources of health insurance are ___________________ programs and ___________________ organizations.

Question 40

One of the factors that drives up healthcare costs is the fact that Americans are living longer than ever before.

Question 41

The Affordable Care Act does not eliminate or affect COBRA.

Question 42

Individuals who are employed by a business are always covered by a group healthcare plan.

Question 43

With the passage of the Affordable Care Act,insurance companies can deny coverage to children with preexisting illnesses until they are 18 years old.

Question 44

Because health insurance is constantly evolving,there will no doubt always be issues to face,such as keeping costs down and preventing chronic illnesses.

Question 45

The new healthcare reform laws make it more difficult for Americans to qualify for state Medicaid programs.