Question 1

What do all healthcare providers have in common?

Accepted Answer

A)   Common measures of outcomes
B)   Universal regulatory demands
C)   Competition for the same payment dollars
D)   Common legal structures C

Question 2

What is IDEA/IDEIA?

Accepted Answer

A)   Health insurance for children above the poverty line
B)   Funding for children with special needs
C)   Major funding for pediatric rehab practices
D)   Linked to Medicaid in most states B

Question 3

How does government-supported health insurance differ from private insurance?

Accepted Answer

A)   Lower cost and higher quality
B)   Populations eligible for benefits
C)   Unlimited funding for patient services
D)   Closed systems with isolated providers B

Question 4

How did healthcare insurance become an important employment benefit?

Accepted Answer

A)   Employers needed to control the costs of rising wages
B)   Employers needed to control sick days
C)   Workers refused to work without the benefit
D)   Workers preferred health insurance over other benefits

Question 5

What is most likely to be the primary consideration for young, healthy employees selecting a health insurance plans during an open enrollment period?

Accepted Answer

A)   Payroll deduction amount
B)   Providers included in plan
C)   Changing physicians
D)   No co-payments for preventative services

Question 6

Which of the following best describes health insurers?

Accepted Answer

A)   Controllers of healthcare costs
B)   Not-for-profit organizations serving the public
C)   Major effectors of healthcare costs, access, and quality
D)   On the periphery of healthcare policy

Question 7

What are the two major parts of workers' compensation benefits?

Accepted Answer

A)   Compensation for lost income and future potential income
B)   Medical benefits and retraining
C)   Medical and compensation benefits
D)   No-fault insurance and partial person concept

Question 8

What is the major difference between Medicare and Medicaid?

Accepted Answer

A)   Medicaid funding comes totally from state taxes, Medicare is a federal program
B)   Medicaid only covers people younger than age 65; Medicare only covers people over age 65
C)   Medicaid insures at-risk infants and children, Medicare does not insure infants
D)   Medicaid is required of everyone below the poverty line; Medicare is required of people over age 65

Question 9

Which of the following statements about Medicare beneficiaries is true?

Accepted Answer

A)   They must be at least 65 years old
B)   They must apply and be approved for benefits
C)   They are exempt from deductibles and co-payments
D)   They are eligible for Medicare if they have social security

Question 10

Which of the following statements is true about workers' compensation?

Accepted Answer

A)   It allows workers to sue employers when they are injured on the job
B)   It allows employers to establish their own benefits for injured employees
C)   It has eliminated work-related lawsuits
D)   It includes protections for both workers and employers

Question 11

Which of the following statements is most true about the choices of healthcare consumers?

Accepted Answer

A)   They have free choice of health insurance plans
B)   They have free choice of providers
C)   They have free choice to seek healthcare
D)   They have free choice of treatments as patients

Question 12

How does Medicare Part B work?

Accepted Answer

A)   Requires optional deductions from social security benefits
B)   Benefits include long-term care and hospice care
C)   Providers are hospital-based and receive standardized fees
D)   May be available without Medicare A benefits

Exam 4: Introduction to Healthcare As a Unique Insurance-Based Business