Ch 1: Reivew Test Flashcards

The Origins of Health Insurance

1
Q

Financial protection against loss or harm is referred to as?

A

Insurance

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2
Q

What does medical insurance narrow down “undesired events” to?

A

Illness and Injury

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3
Q

Keeping a person well or catching and treating an emerging illness in its early stages is referred to as what?

A

Preventive medicine

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4
Q

In what country did modern health insurance begin?

A

England (1850)

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5
Q

In what year did modern health insurance begin?

A

1850 (England)

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6
Q

Health insurance was “born” in the United States in 1920 with a plan that later became known as what?

A

Blue Cross

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7
Q

Blue Cross and Blue Shield plans traditionally established premiums wherin everybody in the community paid the same premium, called ____?

A

Community rating

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8
Q

A profound change in form from one stage to the next in life history of an organism is referred to scientifically as what?

A

Metamorphosis

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9
Q

When did congress pass the Health Maintenance Organization (HMO) Act?

A

1973

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10
Q

What type of insurance provides comprehensive major medical benefits and allows insured individual(s) to choose any provider when seeking medical care?

A

Indemnity insurance, also known as fee-for-service plan

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11
Q

The government provides health insurance programs to specific groups, such as the elderly, the disabled, and people who qualify because their income is lower than what?

A

The federal poverty level

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12
Q

When did the Affordable Care Act become fully implemented?

A

2014

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13
Q

Under the Affordable Care Act, individuals who have not had health insurance for 6 months receive a subsidy allowing them to enroll in what?

A

High-risk insurance pools

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14
Q

What contains protections for health coverage offered in connection with employment and for individual insurance policies sold by insurance companies?

A

HIPPA

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15
Q

Experts believe that increasing healthcare costs are due to what?

A
  • The “graying of America”
  • Advances in medical technology
  • More demand for healthcare
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16
Q

Any system of healthcare that attempts to control or coordinate the use of healthcare to contain expenditures, improve quality, or both falls under what category?

A

Managed healthcare

17
Q

What new healthcare laws were enacted in 2010 that represent significant changes in America’s healthcare industry?

A
  • Health Care and Education Reconciliation Act

- Patient Protection and Affordable Care Act

18
Q

Before the Affordable Care Act took effect, the estimated number of Americans who were without healthcare coverage numbered in the ____?

A

Millions

19
Q

What program provides insurance for qualifying children who are ineligible for Medicaid but cannot afford private insurance?

A

CHIP

20
Q

What are the two relatively new types of healthcare plans that provide additional options for coverage?

A
  • Health Insurance Exchanges

- Accountable Care Organization

21
Q

What is insurance?

A

Financial protection against loss or harm

22
Q

Medical insurance defines illness and injury as what?

A

Undesired Events

23
Q

What is preventive medicine?

A

Keeping a person well or catching and treating an emerging illness in its early stages

24
Q

What health insurance event occurred in 1850 England?

A

The beginning of modern health insurance

25
Q

When was the healthcare plan, later known as Blue Cross, started?

A

1920 United States (Texas)

26
Q

What is community rating?

A

Everybody in the community pays the same premium

27
Q

What act did congress pass in 1973?

A

Health Maintenance Organization (HMO) Act

28
Q

What is indemnity, or fee-for-service insurance?

A

Provides comprehensive major medical benefits and allows insured individual(s) to choose any provider when seeking medical care

29
Q

What important act became fully implemented in 2014?

A

Affordable Care Act

30
Q

Under the Affordable Care Act, individuals can receive a subsidy allowing them to enroll in high-risk insurance pools if they have not had health insurance in how long?

A

6 months

31
Q

HIPPA contains protections for what?

A

Health coverage offered in connection with employment and for individual insurance policies sold by insurance companies?

32
Q

What is managed healthcare?

A

Any system of healthcare that attempts to control or coordinate the use of healthcare to contain expenditures, improve quality, or both

33
Q

What does the program CHIP provide?

A

CHIP provides insurance for qualifying children who are ineligible for Medicaid but cannot afford private insurance