Week 9

Question 1

Bismarkian models

Answer 1

-social insurance model

Question 2

Social insurance model

Answer 2

-multiple entities pay for health care
-compulsory insurance with few exceptions
-contributions geared to income
-non-profit organizations that pay for health care

Question 3

What countries follow a social insurance model

Answer 3

-germany
-france
-netherlands

Question 4

Beveridge models

Answer 4

-national health service model

Question 5

National health service model

Answer 5

-single payer
-nationalization of hospitals and staff
-financed by general revenues
-general practitioner capitation

Question 6

What countries follow a national health service model

Answer 6

-UK
-sweden
-italy

Question 7

Is the US public or private system dominant

Answer 7

-private
-67% of population

Question 8

How many people in the US lack health insurance

Answer 8

-8.7%

Question 9

What percentage of private insurance is covered by employers

Answer 9

-55%

Question 10

What is included in private insurance covered by employers

Answer 10

-entire family coverage
-offer choice of plan
-benefits vary widely
-employees typically contribute to premium
-often involves managed care

Question 11

What percentage of private insurance is covered by employees

Answer 11

-28%

Question 12

How is private insurance paid by employees

Answer 12

-deductibles
-co-pays
-services and medical equipment not covered in plan

Question 13

Types of public insurance in the US

Answer 13

-medicare
-medicaid
-childrens health insurance plan

Question 14

Medicare eligibility

Answer 14

-people 65+
-people with long term disabilities

Question 15

How many parts of medicare are there

Answer 15

-A-D

Question 16

Medicare part A and B

Answer 16

-fee for service

Question 17

Medicare part C

Answer 17

-extra costs like mental health, vision care etc

Question 18

Medicare part D

Answer 18

-prescription and drug coverage

Question 19

What extra services does medicare provide

Answer 19

-veterans health administration
-indian health service

Question 20

What percentage of the population does medicare cover

Answer 20

-18%

Question 21

Medicaid eligibility

Answer 21

-varys widely

Question 22

Childrens health insurance plan

Answer 22

-those ineligible for medicaid but don’t have or cant afford private insurance
-up to age 19
-some states include low-income pregnant women

Question 23

How many children does the childrens health insurance plan cover

Answer 23

-9.6 million

Question 24

When was patient protection and affordable care act created

Answer 24

-2010

Question 25

Affordable care act insurance regulations

Answer 25

-pre-existing conditions provision
-ban on annual and lifetime coverage caps
-cap on annual out-of-pocket costs
-cover children on parents’ policies until age 26

Question 26

Additional features of affordable care act

Answer 26

-individual mandate with premium subsides
-employer mandate
-federal marketplace of individual insurance from private companies
-new centre for medicare and medicaid innovation

Question 27

“Safety nets”

Answer 27

-for people who fall through cracks of previous coverage options

Question 28

Examples of safety nets

Answer 28

-federally qualified health centres
-charity care and safety net programs
-disproportionate care payments to hospitals with large number of publicly insured and uninsured
-federal law requires all patients requiring emergency care to be treated regardless of ability to pay

Question 29

Unsuccessful efforts to establish universal health care in the US

Answer 29

-roosevelt
-truman
-kennedy
-clinton

Question 30

Partially successful efforts to establish universal health care in the US

Answer 30

-johnson
-nixon
-clinton
-bush
-obama