The Well-Managed Healthcare Organization Text Book Flashcards
What is the primary purpose of the Affordable Care Act (ACA)?
To increase access to health insurance and reduce healthcare costs.
True or False: The ACA mandates that individuals have health insurance or face a penalty.
True
What year was the Affordable Care Act signed into law?
2010
Fill in the blank: The ACA created health insurance marketplaces, also known as ______.
exchanges
Which healthcare act aimed to improve quality and reduce costs in Medicare?
The Medicare Access and CHIP Reauthorization Act (MACRA)
What does CHIP stand for?
Children’s Health Insurance Program
Multiple Choice: Which act requires employers to provide health insurance to their employees?
A) The Affordable Care Act B) The Health Insurance Portability and Accountability Act C) The Medicare Modernization Act D) The Patient Protection Act
Short Answer: What is the main focus of the Health Insurance Portability and Accountability Act (HIPAA)?
To protect patient privacy and secure health information.
True or False: The Mental Health Parity and Addiction Equity Act requires equal treatment of mental health and substance use disorders in insurance plans.
True
What is the main objective of the Patient Protection and Affordable Care Act?
To provide affordable health coverage to more people.
Fill in the blank: The ______ Act expanded Medicaid eligibility to include more low-income individuals.
Affordable Care
Multiple Choice: Which act focused on improving healthcare quality and reducing hospital readmission rates?
A) The Affordable Care Act B) The Medicare Improvements for Patients and Providers Act C) The Patient Safety and Quality Improvement Act D) The Medicare Modernization Act
Short Answer: What is the significance of the Medicare Modernization Act?
It introduced prescription drug coverage for Medicare beneficiaries.
True or False: The ACA prohibits insurance companies from denying coverage based on pre-existing conditions.
True
What does the acronym ACA stand for?
Affordable Care Act
Fill in the blank: The ______ Act was designed to improve the coordination of care for Medicare beneficiaries.
Patient Protection and Affordable Care
Multiple Choice: Which of the following acts specifically addresses the issue of healthcare fraud?
A) The Affordable Care Act B) The Health Insurance Portability and Accountability Act C) The Fraud Enforcement and Recovery Act D) The Children’s Health Insurance Program
Short Answer: What does the term ‘Medicare Advantage’ refer to?
A type of health insurance plan that provides Medicare benefits through private insurers.
True or False: The ACA includes provisions for preventive services without cost-sharing.
True
What is the role of the Centers for Medicare & Medicaid Services (CMS)?
To administer the nation’s major healthcare programs including Medicare and Medicaid.
Fill in the blank: The ______ Act established a new payment model for healthcare providers focusing on value-based care.
Medicare Access and CHIP Reauthorization
Multiple Choice: Which act is primarily concerned with the privacy of health information?
A) The Affordable Care Act B) The Health Insurance Portability and Accountability Act C) The Medicare Modernization Act D) The Patient Protection Act
Short Answer: What does the acronym MACRA stand for?
Medicare Access and CHIP Reauthorization Act
True or False: The ACA allows young adults to stay on their parents’ health insurance plan until age 26.
True
