Sample Questions Flashcards
The US is the developed country that spends the most in health care per capita
True
Health insurers act as a third party involved in a health care transaction
True
Medicare is an example of a private insurance program
False
An example of moral hazard is purchasing life and health insurance and going climbing the Himalaya
True
There is limited competition in the health care market
True
In general, people dislike risk, so they are willing to pay a third party (insurer) to assume it
True
A deductible is the maximum amount of money you can spend on health care cost out-of-pocket in a year
False
Generally, HMOs provide coverage only for in-network providers
True
Medicare is the primary source of health insurance for those over 65 years of age
True
Employer-sponsored insurance is the primary source of health insurance for working adults
True
Uninsured rates decreased in the US after the enactment of the Affordable Care Act
True
Under current law, employer sponsored health insurance counts as taxable income
False
Health insurance is cheaper in California than Texas because state income taxes are higher in California than Texas
False
It costs the same amount of money for an employer to give a $5,000 health insurance policy to their employees than a $5,000 raise
False
The point of consumer-directed health plans is to make individuals “have skin in the game”, that is, to make them more sensitive to costs by having to pay full costs until the deductible is met
True
The rationale behind the inclusion of a health savings account in a high deductible plan is to use pre-tax dollars to pay for the health care costs incurred before the deductible is met
True
Medicare is the main source of insurance for children
False
Medicare is funded through a combination of payroll taxes, beneficiary-paid premiums, and general tax revenue
True
Medicare covers individuals with end-stage renal disease
True
All drugs administered to Medicare beneficiaries, regardless of whether they get them in a physician office or from a pharmacy, are covered by Medicare Part D
False
Medicare Part A is financed by payroll taxes
True
Medicare is a federal program
True
Medicare Advantage plans may cover outpatient prescription drugs
True
Medicare Advantage plans take a risk-adjusted capitated payment from Medicare and are responsible for covering medical services to their beneficiaries
True
Medicare was enacted under Obama’s administration
False
The coverage gap was a phase of the original standard benefit design of Medicare Part D where individuals were responsible for 100% of drug costs
True
Since its inception in 1965, Medicare has had 4 parts (A, B, C, D), and has covered hospital admissions, provider services and outpatient prescription drugs
False
Each state administers its Medicare program
False
Medicare Part B covers physician services
True
Medicare Part B covers hospitalizations
False
Drugs administered in physician offices are mostly covered by Medicare Part B
True
Drugs dispensed in community pharmacies are mostly covered by Part D
True
Some drugs can be covered by both Parts B and D
True
The federal government mandates that all states cover prescription drugs under Medicaid
False
Medicaid is an important source of funding for long-term care
True
Medicaid is fully financed by the states
False
Medicaid is an important source of insurance coverage for children
True
Some states rely on Medicaid Managed Care Organizations for the administration of Medicaid insurance coverage
True
Historically, Medicaid has had lower reimbursement rates than Medicare and commercial insurance
True
The Affordable Care Act aimed to implement Medicare for all
False
The Affordable Care Act was enacted in 1965
False
The Affordable Care Act aimed to decrease uninsured rates through the implementation of a package of reforms
True
The Affordable Care Act resulted in an increase in the number of individuals who have health insurance
True
One of the strategies employed by the Affordable Care Act’s strategy to decrease uninsured rates was Medicaid expansion
True
The Affordable Care Act mandated individuals to purchase insurance through the implementation of a penalty for those failing to get insurance
True
The Affordable Care Act prohibited insurers from using pre-existing conditions for underwriting
True
The point of the Affordable Care Act individual mandate was to bring healthy individuals into the health insurance risk pool
True
