Hpa 101

Front 1

By law, the Federal Medical Assistance Percentage cannot be lower than 50 percent or higher than 83 percent (T/F):

Back 1

TRUE

Front 2

The creation of Medicare and Medicaid prompted national health expenditures to rise at more than double the rate of growth in the consumer price index between 1966 and 1971 (T/F):

Back 2

TRUE

Front 3

People who are eligible for Social Security do not have to pay premiums for Medicare Part A (T/F):

Back 3

TRUE

Front 4

Unlike traditional insurance companies, managed care organizations:

Back 4

ASSUME THE RESPONSIBILITY FOR DELIVERING HEALTHCARE.

Front 5

What did the Balanced Budget Act of 1997 NOT do?

Back 5

ALLOW MEDI((CARE)) PROGRAM TO MOVE BENEFICIARIES TO MANAGED CARE

Front 6

Only people age 65 or older are eligible to enroll in Medicare (T/F):

Back 6

FALSE

Front 7

The first presidential candidate in the United States to promote a national health insurance plan was:

Back 7

THEODORE ROOSEVELT

Front 8

In health care asymmetry of information may inflate the use of health care resources (T/F):

Back 8

TRUE

Front 9

Inelastic demand allows health care costs to increase because:

Back 9

COMSUMERS ARE NOT PRICE SENSITIVE

Front 10

To receive federal matching funds, states must provide services to the categorically needy (T/F):

Back 10

TRUE

Front 11

Self-Insurance refers to:

Back 11

Employers assume the risk by budgeting a certain amount to pay medical claims.

Front 12

In the 1990s, what prevented managed care from achieving its full potential to control costs:

Back 12

CONSUMER AND PROVIDER BACKLASH

Front 13

What percentage of United State’s elder population receives Medicare:

Back 13

95%

Front 14

Medicare beneficiaries who have low incomes and limited resources may also receive help from the Medicaid program (T/F):

Back 14

TRUE

Front 15

Medicaid does not provide medical assistance for all poor person (T/F):

Back 15

TRUE

Front 16

In recent decades managed care has been the single dominant force in the fundamental transformation of health delivery in the United States (T/F):

Back 16

TRUE

Front 17

Dual eligible refers to people eligible for both the Medicare and Medigap (T/F):

Back 17

FALSE

Front 18

Medicaid was initially formulated as a medical care extension of federally funded programs providing cash income assistance for the poor, with an emphasis on dependent children and their mothers, the disabled, and the elderly (T/F):

Back 18

TRUE

Front 19

If you are enrolled in Medicare Part A you must be enrolled in Parts B and D as well (T/F):

Back 19

FALSE

Front 20

Horizontal integrated health systems are best suited for the Episode of Care Bundled Payment Pilot Program (T/F):

Back 20

FALSE

Front 21

What is the main benefit of each part of Medicare?

Back 21

Part A: In-patient hospital care
Part B: Out patient physician services
Part D: Prescription medication

Front 22

Medicare Part A does not require the beneficiary to pay any of their health care costs (T/F):

Back 22

FALSE

Front 23

The majority of people under 65 obtain insurance through their employer (T/F):

Back 23

TRUE

Front 24

The fundamental difference in how federal matching funds are provided to Medicaid versus SCHIP is:

Back 24

SCHIP is a BLOCK grant and Medicaid is OPEN-ENDED

Front 25

Federal Medical Assistance Percentage refers to the amount the federal government pays for Medicaid (T/F):

Back 25

TRUE

Front 26

In 1972 Medicare was expanded to include permanently disabled adults and persons with end staged renal disease (T/F):

Back 26

TRUE

Front 27

What is not a reason for the expansion of the private insurance market in the 1940s?

Back 27

PUBLIC INSURANCE PROGRAMS PROVED TO BE INADEQUATE

Front 28

Diagnostic Related Groups promoted lowering of hospital expenditures but may have also promoted large increases in home health expenditures. (T/F):

Back 28

TRUE

Front 29

There is no difference between categorically needy and medical needy in terms Medicaid eligibility (T/F):

Back 29

FALSE

Front 30

Elders and persons with disability account for less than half of all Medicaid expenditures (T/F):

Back 30

FALSE

Front 31

You must be eligible for Social Security to be eligible for Medicare Part A:

Back 31

FALSE

Front 32

Prospective payment systems try to influence consumer behavior T/F:

Back 32

FALSE

Front 33

What is the moral hazard of health insurance?

Back 33

RISK OF OVER CONSUMPTION BY THE INSURED

Front 34

Third party payment lowers health care costs T/F:

Back 34

FALSE

Front 35

In health care, supplier induced demand may inflate the use of health care resources T/F:

Back 35

TRUE

Front 36

The original purpose of private health insurance was to provide income during temporary disability due to bodily injury or illness T/F:

Back 36

TRUE

Front 37

Community rating means a health insurance premium rate based on community characteristics T/F:

Back 37

TRUE

Front 38

Medical underwriting promotes adverse selection T/F:

Back 38

FALSE

Front 39

Adverse selection refers to:

Back 39

That sick people are more apt to purchase health insurance
.

Front 40

Medicare Part A pays 100% of the first 60 days you are in a nursing home after a three-day hospital stay T/F:

Back 40

FALSE

Front 41

Who was the first presidential candidate in the United States to promote a Medicare insurance plan for Social Security recipients?

Back 41

JOHN KENNEDY

Front 42

In the 1990s, what prevented managed care from achieving its full potential to control costs?

Back 42

CONSUMER AND PROVIDER BACKLASH

Front 43

Diagnostic Related Group (DRG) is a system used to classify hospital cases for reimbursement purposes T/F:

Back 43

TRUE

Front 44

People with health insurance typically:

Back 44

A. ARE ABLE TO PAY FOR HEALTHCARE

B. DO NOT DELAY SEEKING CARE

C. AVOID PERSONAL BANKRUPTCY DUE TO MEDICAL EXPENSES

Front 45

The Resource Based Relative Value Scale measures adequacy of prospective payment systems T/F:

Back 45

FALSE

Front 46

Experience rating means a health insurance premium rate based on the insurers prior health experiences of similar individuals or groups T/F:

Back 46

TRUE

Front 47

Diagnostic Related Groups did not adversely affect patient care quality T/F:

Back 47

TRUE

Front 48

Identify the financing scheme for each part of Medicare:

Back 48

Part A - Mandatory payroll tax

Part B - Beneficiary premiums and general fund contributions

Part C - Mandatory payroll tax, beneficairy premiums, and general fund contributions

Front 49

In recent decades managed care has been the single dominant force in the fundamental transformation of health delivery in the United States T/F:

Back 49

TRUE

Front 50

Medicare beneficiaries who have low incomes and limited resources may also receive help from the Medicaid program T/F:

Back 50

TRUE

Front 51

Retrospective payment systems try to influence consumer behavior T/F:

Back 51

TRUE