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MHA 707 CH 11 EXAM QUESTIONS AND ANSWERS
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MHA 707 CH 11 EXAM QUESTIONS AND ANSWERS
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MHA 707 CH 11 EXAM QUESTIONS AND ANSWERSWhat groups of Americans were largely uninsured when the ACA was being
developed? - - Unemployed people who could not afford insurance, employed
with no esi, employed especially the young who did not take esi, and those
with means who chose not to be insured
-What groups of Americans were largely insured when the ACA was being
developed? - - medicare, mediciad, chip, military and veterans health
insurance, esi, private health insurance not related to employment
-Why didn't the ACA go to a single-payer or an NHI format? - - it was
apparent that a plan eliminating any of the existing payers in the hc system
would not have sufficient support for passage
-During the development of the ACA health care expenditures accounted for
a greater portion of the GPD increasing to ____ in 2009. - - 17.3%
-The per capita expenditures for healthcare had increased from $4857 in
2000 to ___ in 2009. - - $8,141
-The US has the most expensive healthcare system of all OECD Countries.
True or False. - - True
-What were the Obama's administration goals? - - bend health care cost
curve downward, achieve greater equity in health insurance coverage, and
improve quality of health care
-What was the public option? - - it allowed many to purchase medicaid
coverage with means tested premium.
-Why wouldn't a public option work? - - Theroretically over time most
employers as well as individuals would migrate into public option/mediciad
and choke out most private insurers
-What was the underlying assumption of the ACA? - - cost quality and equity
are linked together
-Access to healthcare or all, or most would reduce? - - it reduces the use of
expensive care, expand rationing of care, costly exacerbation of health
conditions, and uncompensated care for providers
-Exisiting government health insurance plans were relatively unchanged in
that ____. - - medicare was retained, health insurance for veterans and
, military was retained, traditional medicaid was retained, and chip was
extended
-Under the ACA traditional medicaid could be ____ - - expanded to 138% of
the federal poverty level as a state option
-_____ was a the heart of the ACA. - - changes to the private health insurance
market
-In order to extend basic coverage to people who were uninsured or
underinsured, the ACA ___. - - mandated that private health insurance plans
meet minimum standards
-The mandate for plans were that - - cannot discriminate against people with
pre-existing conditions, cannot impose lifetime and annual limits on
coverage, and must extend dependent coverage to age 26
-The ACA guaranteed that ___. - - something needed to be done to help
people with pre-exisiting in these situations, made changing employer
insurance more practical and fair, helped many who could not get insurance
because of early life events, and removed disincentives to practice more
healthy lifestyles, and allowed people to game the system
-The ACA created state based health insurance exchanges for individuals
and small business that allowed them to ___. - - compare plans, apply for
financial assistance, and purchase coverage
-The ACA created ____ to help firms with 50 or fewer employees cover their
workers. - - small business health options programs (SHOP)
-the ACA provided subsidies for low income enrolees between 100% and
250% of the federal poverty level to ___. - - reduce patient cost sharing
-When the federal government makes payments to the insurance companies
directly to cover patient cost sharing reductions it is known as ___. - - cost
sharing reduction or csr payments
-The ACA provided ___, based on income and cost of coverage for individuals
and families with income between 100% and 400% of the FPL. - - refundable
premium tax credits
-the individual mandated that ___. - - most citizens and legal residents have
health insurance
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