MHA 707 Exam D Study Guide Correct Questions & Answers(SCORED A+)
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Course
MHA 707
Institution
MHA 707
What groups of Americans were largely uninsured when the ACA was being considered? - ANSWER -Unemployed,
-Employed with no ESI (employer-sponsored ins)
-Young employees
-Those who didn't take ESI
-Those who chose not to be insured
Why didn't the ACA go to a single-payer or an NHI format? W...
MHA 707 Exam D Study Guide Correct
Questions & Answers(SCORED A+)
What groups of Americans were largely uninsured when the ACA was being considered? - ANSWER -
Unemployed,
-Employed with no ESI (employer-sponsored ins)
-Young employees
-Those who didn't take ESI
-Those who chose not to be insured
Why didn't the ACA go to a single-payer or an NHI format? What was the Public potion? - ANSWER
Each had its own stakeholder with invested interest in continuing their role in the HC system. Allow
many to purchase medicaid with means tested premium employers shift twd medicaid b/c it was
cheaper than having private ins
What features of the ACA were designed to increase coverage? What are pre-existing conditions and
guaranteed issue? How were they Impacted by ACA? - ANSWER •Mandated that private health
insurance plans meet minimum standards
•Cannot discriminate against people with preexisting conditions (guaranteed issue)
•Cannot impose lifetime and annual limits on coverage
Must extend dependent coverage to age 26
What are pre-existing conditions and guaranteed issue? - ANSWER Made changing
employer/insurance practical and more fair
Helped many who could not get insurance because of early life events
Removed disincentives to practice "less-healthy" lifestyles
stop smoking, lose weight, etc.
Allowed people to "game the system" - buy insurance only when a health problem arises and be
uninsured (not pay premiums) otherwise.
, What were the hoped advantages of achieving expanded coverage under the ACA? - ANSWER
Reduce increased care, expand rationing of care, costly exacerbation of health conditions,
uncompensated care for providers (academic providers)
What are Health insurance exchanges? - ANSWER State-based health insurance exchange for
individuals and small businesses to compare plans, apply for financial assistance, purchase coverage
What is SHOP? - ANSWER Small Business Health Options Program Helped firms with 50 or less
employees to have insurance to cover them.
What was the individual mandate and its design? What happened to it? - ANSWER Mandated that
most citizens and legal residents have health insurance.
distributes health care costs over people in poor health and good health (community rating)
How did ACA aim to reduce health care cost? - ANSWER -Medicare fraud, excessive payment for
prescription drugs, shift cost to the state (stronger federal partnership in Medicaid), series of HC
reforms would save $349 billion by 2021 and $480 billion by 2023, $1 Trillion in the following decade
What was the Center for Medicaid and Medicare Innovation? - ANSWER •Established to develop
cost savings through health services research that evaluates the effectiveness and efficiency of health
care treatments (Like NICE in United Kingdom)
•Testing various payment and service delivery models to achieve better care for patients, better
health for communities, and lower costs
What are the source of funds for the ACA? - ANSWER Prevention and public health fund
Cuts in government spending (Dr. and hospital) and new revenues (tax penalties)
What is Medicaid expansion? - ANSWER Expansion supports local economics, level of financial
protection, drops uninsurance rate cost of expansion is minimal, decreases cost-shifting issues, delay
to dr. dr doesn't have to accept Medicaid
Expansion would stp benefits of private ins
What were the major achievements of the ACA? - ANSWER •Specific ACA policies benefited many
people
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