Exam 18: Private and Government Healthcare Systems

In the United States, the risk of becoming uninsured increases significantly for the working poor.

Medicare Part A coverage is generally provided automatically and free of premiums to persons age 65 or over who are eligible for Social Security or Railroad Retirement benefits, whether they have claimed these monthly cash benefits or not.

Medicare legislation provides hospital and medical insurance to which of the following demographics?

People in the highest income households are more likely than those in lower income households to report their health status as good.

The Balanced Budget Act included a state option known as Programs of All-Inclusive Care for the Elderly (PACE).

List five services that the state Medicaid programs can provide.

Mike is receiving services from a state Medicaid program. He will receive all of the following except:

The gaps in Medicare coverage include which of the following?

A client opting to enroll in a point-of-service plan would expect which of the following?

Most preferred provider organizations (PPOs) cover visits to the physician, well-baby care, immunizations, and mammograms, all of which are considered:

Which agency administers Medicare and Medicaid?

What is the term of the following definitions: -Prepaid group practice plan that offers health care services through group of medical practitioners.

Medicare is the designated health insurance for pregnant and lactating women.

Jim has an income that is too high to qualify for state medical assistance and cannot obtain private insurance. He wants his children covered for insurance and doesn't know what to do. Which federal government program was created to help people like Jim?

Which of the following is coverage offered through one's own employment or a relative's employment? It may be offered by an employer or by a union.

Individual practice association (IPA) is a type of healthcare provider organization composed of a group of independent practicing physicians who maintain their own offices and band together for the purpose of contracting their services to HMOs.

The United States spends a great deal of money on acute care and insufficient amounts on the promotion of health and prevention of diseases.

Capitation is a payment method in which each provider, such as an HMO, receives a flat annual fee for each individual regardless of how often services are used.

Which of the following describes independent groups of physicians that contract with HMOs to provide services to enrollees?

People in higher income households are more likely than those in lower income households to report their health status as fair or poor