health care reform

Question 1

healthcare delivery model that ties provider reimbursement payment to the quality and cost of care for patient population- for example, patients on kidney dialysis

Answer 1

accountable care organizations (ACO)

Question 2

the credit that can be used to reduce the cost of health insurance premiums for policies purchased from the marketplace

Answer 2

Advance premium tax credit

Question 3

healthcare reform legislation signed into law by president Barack Obama in March 2010 with goal of increasing access to health insurance while controlling Healthcare costs.

Answer 3

Affordable care act (ACA)

Question 4

method of controlling Healthcare costs by reimbursing Medicare for all services for a procedure- for example, hip replacement surgery and home care after discharge from the hospital

Answer 4

bundling payments

Question 5

supreme court case ruled that closely affiliated corporations opposed to contraceptives are exempt from insurance coverage for contraceptives for female employees.

Answer 5

Burwell v. Hobby Lobby, inc

Question 5

Division of the CMS that tests various payment and service delivery models to achieve better health care while lowering costs by improving healthcare systems

Answer 5

Center for Medicare and medicaid innovation

Question 6

guidelines for primary care providers to use in screening and counseling patients to prevent or reduce the risk of heart disease, cancer, and infectious disease

Answer 6

clinical Preventative services

Question 7

companies in which more than 50% of stock in the corporations is owned by five or fewer individuals

Answer 7

closely held corporations

Question 8

cost for out of pocket deductibles, coinsurance, and co-payments are reduced for those obtaining health insurance through the marketplace.

Answer 8

Cost sharing reduction

Question 9

refers to health insurance , for example individuals who do not qualify for medicaid because their income is too high yet are unable to purchase health insurance through the marketplace because the cost of premiums is unaffordable

Answer 9

coverage gap

Question 10

federally managed data services for consumers applying for health insurance through the health Exchanges/marketplace that link to medicaid and the Children’s Health Insurance Program (CHIP) and verifies income and citizenship status.

Answer 10

Data service hub