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PHC4157 Final Exam Study Guide well answered to pass
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PHC4157 Final Exam Study Guide well answered to pass
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PHC4157 Final Exam Study Guide wellanswered to pass
- expanded insurance coverage
- insurance regulation
- taxes & funding
- other random stuff - correct answer ✔✔QUESTION 1
What were main things the Affordable Care Act (ACA) did to reform health care in the US?
- individual mandate - all citizens must be insured or pay a tax
- except if: religious exemption, < 3 months, financial hardship, incarcerated
- sources:
> Medicaid expansion state-by-state: everyone w/ income < 138% of the FPL is covered
> ACA marketplaces: people without ESI, Medicare/Medicaid can buy insurance (subsidized up to 400%
FPL)
> employers: businesses with > 50 employees must offer insurance - correct answer ✔✔QUESTION 1
How did the Affordable Care Act reform health care in the US in terms of expanded insurance coverage?
- prevents insurance companies from:
> excluding people with preexisting conditions
> canceling coverage after becoming sick
> setting annual or lifetime reimbursement limits
- requires insurance companies to:
> cover essential health benefits (maternity, mental health, preventative care)
> allow dependent coverage up to age 26 - correct answer ✔✔QUESTION 1
How did the Affordable Care Act reform health care in the US in terms of insurance regulation?
- new taxes on drug companies, device makers, insurance companies, and tanning salons
, - higher Medicare (3.8%) tax on incomes over $200K - correct answer ✔✔QUESTION 1
How did the Affordable Care Act reform health care in the US in terms of taxes and funding?
- restaurants must include calories (20+locations)
- pay medical school debt to ease PCP shortage
- employers with 50+ employees must provide break time for breastfeeding women with a private space
for nursing and pumping - correct answer ✔✔QUESTION 1
How did the Affordable Care Act reform health care in the US in terms of other random stuff?
- those below the 100% poverty line and did not receive insurance coverage through Medicaid - correct
answer ✔✔QUESTION 2
Who was left out and did not receive insurance coverage through the ACA?
- in the states that did not expand the ACA - correct answer ✔✔QUESTION 2
Where is the biggest remaining insurance coverage gap?
- Trump Administration passed a tax policy around December 2018 that made individual mandate null
- the individual mandate required penalty if you didn't buy into the insurance system (tax policy made it
$0, no penalty) - correct answer ✔✔QUESTION 3
What happened with the ACA's individual mandate?
- it expanded insurance coverage through the individual mandate
- insurance regulation by covering essential health benefits and dependent coverage until age 26 -
correct answer ✔✔QUESTION 4
What are two arguments in favor of the ACA? (Why was it good? What did it accomplish?)
- it doesn't simplify our complex overlapping payment systems
- it still doesn't achieve universal coverage
- people living in opted-out states for Medicare expansions are still uninsured - correct answer
✔✔QUESTION 5
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