Exam 18: Private and Government Healthcare Systems

The main function of the Affordable Care Act (ACA) is to produce private health insurance exchanges in every state.

What is the term of the following definitions: -Combination of traditional fee for service and HMO.

A premium is a periodic payment required to keep an insurance policy requirement.

All of the following are aims of the Affordable Care Act except:

Which of the following provides an alternative to institutional care for individuals age 55 or older who require a nursing facility level of care?

Which act is known as the Welfare Reform Act?

What is the term of the following definitions: -System that handles the cost and delivery of health care services, the quality of that health care, and access to care.

Medicaid provides health care services to low-income persons with family incomes below 133 percent of poverty level, 65 years and older, disabled individuals, infants and pregnant women, and the blind.

Which of the following is known as the Medicare Supplemental Insurance?

Medicare Supplemental Insurance, also known as Medigap, was developed to provide medical coverage to pregnant women.

What is the term of the following definitions: -Plan where the physician sets a price for each type of service delivered, and the client or insurance companies pay the fee.

What does TANF stand for?

Which of the following is a type of private insurance coverage that may be purchased by an individual enrolled in Medicare to cover some needed services that are not covered by Medicare?

The Medicare system is based on fee-for-service for paying physicians. Medicare pays an individual physician an amount that does not exceed the 75th percentile of charges by all physicians in a community.

The Affordable Care Act states that health plans must offer a minimum level of benefits to qualify for inclusion in state exchanges, including all except which of the following?

What is the term of the following definitions: -Made up of private physicians in private offices to provide services to HMO members and clients with other forms of insurance.

A preferred provider organization is a combination of traditional fee-for-service and an HMO. Similar to an HMO, clients use the physicians and hospitals that have agreed to give discounts to their insurer.

The concept of insurance is to combine the healthcare experiences of many enrollees in order to reduce expenses for any one individual to a manageable prepayment amount.

The main function of the Affordable Care Act is to produce private health insurance exchanges in every state. These exchanges will serve as a marketplace for consumers, offering local, standardized healthcare plans from a variety of providers.

Employment-based health insurance is coverage offered through one's own employment or a relative's employment. It may be offered by an employer or by a union.