Deck 4: Health Care Financing and Payment Methods

Question 1

What is a favorable trend seen in as a result of the PPACA?

A) Physician services have seen an increase in preventative care visits
B) Inpatient hospital care has become more affordable for individuals.
C) Insurance companies have increased their coverage of retail prescriptions.
D) There has been little to no increase in out of pocket expenses for all aspects of health care.

Answer 1

A

Question 2

Healthcare reform has been attempted at various times. Which president attempted the first effort in the U.S. by endorsing social insurance as part of his party platform?

A) President L. Johnson
B) President R. Nixon
C) President B. Obama
D) President T. Roosevelt

Answer 2

D

Question 3

Should a state be unable to establish an exchange, what other option do the state residents have for their health insurance exchange?

A) Obtain a federally facilitated exchange via the HHS
B) Obtain federally funded Medicaid coverage
C) Obtain a premium tax credit who do not have access to public insurance
D) Obtain state funded Medicare or Medicaid insurance

Answer 3

A

Question 4

The Patient Protection and Affordable Care Act established additional protections for individuals such as ______________.

A) requiring all individuals to have the same insurance coverage
B) covering mental health and substance abuse services
C) giving young adults more coverage options until the age of 22
D) providing a discounted rate for preventive care

Question 5

According to the PPACA, which of the following is an additional protection for individuals?

A) requiring insurance companies provide plans for people with preexisting conditions without charging more
B) allowing insurance companies incremental rate increases to coincide with cost of living increases
C) attaching a lifetime coverage cap to mental health and substance abuse services
D) permitting insurance companies to adjust coverage for the chronically ill with optional cancellations

Question 6

When a patient is charged for a specific period of continuous care, such as treatment maternal health management, it is considered a(n) ___________________.

A) episode of care
B) out of pocket expense
C) prospective payment method
D) retrospective payment method

Question 7

One method for a business to demonstrate progress in achieving their financial objective is to utilize __________________.

A) key performance indicators
B) financial statements
C) a prospective payment method
D) an episode of care

Question 8

Which of the following is an example of additional protections for individuals under the PPACA?

A) Individuals are able to obtain coverage for substance abuse issues.
B) The lifetime coverage has been increased for essential health benefits.
C) Preventative health services are now deeply discounted for everyone.
D) Individuals with a pre-existing condition pay a smaller increase for coverage.

Question 9

According to the Affordable Care Act, which of the following individuals would be eligible for a premium tax credit?

A) Individuals who obtain public health insurance such as Medicaid
B) Individuals who obtain employer provided insurance coverage
C) Individuals who do not have access to public insurance or employer-based coverage
D) Individuals who cannot obtain coverage due to preexisting health conditions

Question 10

Out of pocket expenses include payment by individuals who pay for part of health services through ____________.

A) tax incentive reductions
B) copayments and deductibles
C) expenses for private health insurance
D) local government programs