Sample Questions Flashcards

1
Q

The US is the developed country that spends the most in health care per capita

A

True

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2
Q

Health insurers act as a third party involved in a health care transaction

A

True

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3
Q

Medicare is an example of a private insurance program

A

False

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4
Q

An example of moral hazard is purchasing life and health insurance and going climbing the Himalaya

A

True

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5
Q

There is limited competition in the health care market

A

True

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6
Q

In general, people dislike risk, so they are willing to pay a third party (insurer) to assume it

A

True

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7
Q

A deductible is the maximum amount of money you can spend on health care cost out-of-pocket in a year

A

False

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8
Q

Generally, HMOs provide coverage only for in-network providers

A

True

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9
Q

Medicare is the primary source of health insurance for those over 65 years of age

A

True

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10
Q

Employer-sponsored insurance is the primary source of health insurance for working adults

A

True

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11
Q

Uninsured rates decreased in the US after the enactment of the Affordable Care Act

A

True

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12
Q

Under current law, employer sponsored health insurance counts as taxable income

A

False

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13
Q

Health insurance is cheaper in California than Texas because state income taxes are higher in California than Texas

A

False

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14
Q

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

A

False

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15
Q

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

A

True

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16
Q

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

A

True

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17
Q

Medicare is the main source of insurance for children

A

False

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18
Q

Medicare is funded through a combination of payroll taxes, beneficiary-paid premiums, and general tax revenue

A

True

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19
Q

Medicare covers individuals with end-stage renal disease

20
Q

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

21
Q

Medicare Part A is financed by payroll taxes

22
Q

Medicare is a federal program

23
Q

Medicare Advantage plans may cover outpatient prescription drugs

24
Q

Medicare Advantage plans take a risk-adjusted capitated payment from Medicare and are responsible for covering medical services to their beneficiaries

25
Medicare was enacted under Obama’s administration
False
26
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
27
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
28
Each state administers its Medicare program
False
29
Medicare Part B covers physician services
True
30
Medicare Part B covers hospitalizations
False
31
Drugs administered in physician offices are mostly covered by Medicare Part B
True
32
Drugs dispensed in community pharmacies are mostly covered by Part D
True
33
Some drugs can be covered by both Parts B and D
True
34
The federal government mandates that all states cover prescription drugs under Medicaid
False
35
Medicaid is an important source of funding for long-term care
True
36
Medicaid is fully financed by the states
False
37
Medicaid is an important source of insurance coverage for children
True
38
Some states rely on Medicaid Managed Care Organizations for the administration of Medicaid insurance coverage
True
39
Historically, Medicaid has had lower reimbursement rates than Medicare and commercial insurance
True
40
The Affordable Care Act aimed to implement Medicare for all
False
41
The Affordable Care Act was enacted in 1965
False
42
The Affordable Care Act aimed to decrease uninsured rates through the implementation of a package of reforms
True
43
The Affordable Care Act resulted in an increase in the number of individuals who have health insurance
True
44
One of the strategies employed by the Affordable Care Act’s strategy to decrease uninsured rates was Medicaid expansion
True
45
The Affordable Care Act mandated individuals to purchase insurance through the implementation of a penalty for those failing to get insurance
True
46
The Affordable Care Act prohibited insurers from using pre-existing conditions for underwriting
True
47
The point of the Affordable Care Act individual mandate was to bring healthy individuals into the health insurance risk pool
True