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LEAD I > 03: The Affordable Care Act > Flashcards

03: The Affordable Care Act Flashcards

1
Q

What are the four main components of the Affordable Care Act?

A. Individual Mandate; Employer Mandate; Medicaid Expansion; Insurance Market Regulation
B. Individual Mandate; Employer Mandate; Medicare Expansion; Insurance Market Regulation
C. Individual Mandate; Employer Mandate; Medicaid Expansion; Insurance Market Federally Governed
D. Individual Mandate; Employer Mandate; Medicaree Expansion; Insurance Market Federally Governed

A

A

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2
Q

True or false: The US federal government operates the marketplace for all states.

A

False

Some states run their own–New York is one of them.

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3
Q

The individual marketplace equivalent for small businesses is called:

A. CHIP
B. CMMI
C. SHOP
D. CO-OP

A

C

SHOP stands for Small business Health Options Program.

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4
Q

Which of the following titles of the Affordable Care Act was put into place to expand Medicaid?

A. Title I
B. Title II
C. Title V
D. Title IX

A

B

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5
Q

Which of the following titles of the Affordable Care Act was put into place to promote access to healthcare?

A. Title I
B. Title II
C. Title V
D. Title IX

A

A

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6
Q

Which of the following aspects of Title I of the Affordable Care Act has been repealed?

A. Dependent coverage up to age 26
B. Employer penalties for not offering health insurance (companies of 50+ employees)
C. Individual penalties for not having health insurance
D. Caps on insurance benefits payouts

A

C

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7
Q

The public, nonprofit, non-government, consumer-driven health plan under the Affordable Care Act is known as:

A. CHIP
B. CMMI
C. SHOP
D. CO-OP

A

D

CO-OP stands for Consumer-Operated and Oriented Plan.

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8
Q

Which plan under the Affordable Care Act covers 80 percent of essential benefits?

A. Catastrophic plan
B. Gold plan
C. Platinum plan
D. Bronze plan
E. Silver plan

A

B

Bronze covers 60%.
Silver covers 70%.
Platinum covers 90%.
Catastrophic is the cheapest and has the highest deductible; it is exempt from the mandate.

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9
Q

True or false: Affordable Care Act plan premiums do not vary by age.

A

False

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10
Q

True or false: Affordable Care Act plan premiums can vary by smoking status.

A

True

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11
Q

True or false: Affordable Care Act plan premiums cannot vary by pre-exisiting condition.

A

True

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12
Q

True or false: Affordable Care Act plan premiums can vary by state.

A

True

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13
Q

Which of the following Affordable Care Act plans offered cost-sharing subsidies?

A. Bronze
B. Silver
C. Gold
D. Platinum

A

B

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14
Q

Which of the following Affordable Care Act plans does not have a deductible?

A. Bronze
B. Silver
C. Gold
D. Platinum
E. A and B
F. B and C
G. C and D

A

G

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15
Q

This kind of Affordable Care Act subsidy is offered to help people pay for premiums.

A. Cost-sharing subsidy
B. Premium subsidy
C. Rebate subsidy
D. Income-based subsidy

A

B

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16
Q

This kind of Affordable Care Act subsidy helps low-income families pay for out-of-pocket costs.

A. Income-based subsidy
B. Rebate subsidy
C. Premium subsidy
D. Cost-sharing subsidy

A

D

17
Q

True or false: Under the Affordable Care Act, if you enrolled during the open enrollment period, you can change your health plan (e.g., bronze, silver) before the next enrollment period.

A

False

18
Q

True or false: Under the Affordable Care Act, you cannot drop a COBRA plan and apply for a health plan outside of the open enrollment with the “circumstance change” clause.

A

True

You must exhaust COBRA first, or you can choose NOT to accept COBRA and apply for enrollment under the circumstance change clause.

19
Q

True or false: Under the Affordable Care Act, you cannot enroll in a healthcare plan outside of the open enrollment period unless you have a qualifying circumstance change.

A

True

Qualifying circumstances include: loss of job, gaining a dependent, loss of coverage due to divorce or legal separation, loss of dependent status, moving to another state, losing Medicaid eligibility, change in immigration status, exhaustion of COBRA.

20
Q

Under the Affordable Care Act, how many employees must a company have before being legally required to automatically enroll its employees into an employer’s health insurance plan?

A. 200
B. 100
C. 50
D. 25

A

A

21
Q

Which of the following titles of the Affordable Care Act was focused on cost control and the reduction of healthcare prices?

A. Title I
B. Title III
C. Title V
D. Title VII

A

B

22
Q

The “Cadillac tax” under Title III of the Affordable Care Act was established to target lavish healthcare policies to slow the rising cost of healthcare, putting pressure on employers to restructure their employee health plans. It mandated a 40% tax on premiums over $10,200 per individual, or $27,500 per family.

If a family plan cost $30,000 per year, how much would the employer be responsible to pay?

A. $27,500
B. $12,000
C. $2500
D. $1000

A

D

Since the threshold for families is $27,500, the difference between this family’s plan ($30,000) and the threshold ($27,500) is $2500.

40% of $2500 is $1000.

23
Q

“Networks of physicians, hospitals, skilled nursing facilities, and pharmacies who coordinate quality care” describes which of the following?

A. Center for Medicare and Medicare Innovation (CMMI)
B. Center for Medicare and Medicaid Services (CMS)
C. Independent Payment Advisory Board (IPAB)
D. Accountable Care Organizations (ACO)

A

D

24
Q

“An authority providing incentives for improved hospital care (or subject to penalty)” describes which of the following?

A. Center for Medicare and Medicare Innovation (CMMI)
B. Center for Medicare and Medicaid Services (CMS)
C. Independent Payment Advisory Board (IPAB)
D. Accountable Care Organizations (ACO)

A

B

25
Q

“A 15-member group drafting proposals to decrease Medicare spending” describes which of the following?

A. Center for Medicare and Medicare Innovation (CMMI)
B. Center for Medicare and Medicaid Services (CMS)
C. Independent Payment Advisory Board (IPAB)
D. Accountable Care Organizations (ACO)

A

C

26
Q

“A program funded to design and test payment and service delivery models” describes which of the following?

A. Center for Medicare and Medicare Innovation (CMMI)
B. Center for Medicare and Medicaid Services (CMS)
C. Independent Payment Advisory Board (IPAB)
D. Accountable Care Organizations (ACO)

A

A

27
Q

Which of the following quality implementations of Title III of the Affordable Care Act is described below?

Increases quality and efficiency of healthcare and implements evidence-based practice.

A. Electronic health records
B. Physician Quality Reporting System (PQRS)
C. Patient-Centered Outcomes Research Institute
D. Value-based purchasing

A

C

28
Q

Which of the following quality implementations of Title III of the Affordable Care Act is described below?

Provides warnings about drug allergies and interactions, and makes healthcare information accessible.

A. Electronic health records
B. Physician Quality Reporting System (PQRS)
C. Patient-Centered Outcomes Research Institute
D. Value-based purchasing

A

A

29
Q

Menu labeling, wellness programs, and grants to improve public health all fall under which title of the Affordable Care Act?

A. Title III: Improving quality and efficiency
B. Title IV: Prevention
C. Title I: Quality and affordable healthcare
D. Title VI: Transparency and program integrity

A

B

30
Q

Providing loan forgiveness, scholarships, and training program expansion all fall under which title of the Affordable Care Act?

A. Title IV: Prevention
B. Title III: Improving quality and efficiency
C. Title VI: Transparency and program integrity
D. Title V: Workforce

A

D

31
Q

Flexible Spending Accounts (FSAs) fall under which title of the Affordable Care Act?

A. Title VI: Transparency and program integrity
B. Title III: Improving quality and efficiency
C. Title IX: Revenue provisions
D. Title IV: Prevention

A

C

32
Q

“Double dipping” refers to:

A. Higher taxes on health insurers and manufactures
B. Tax on elective procedures
C. Employer subsidies and tax reduction for paying Medicare Part D coverage for employees
D. None of the above

A

C

33
Q

The Affordable Care Act corrected all of the following except:

A. Denial of coverage and services
B. Increased growth of uninsured
C. Increased affordability of coverage
D. Improved quality of care

A

B

LEAD I (10 decks)

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