Exam 18: Private and Government Healthcare Systems

What is the difference between private and government health insurance?

Which program provides services to people who are 65 years old, are disabled, or have permanent kidney failure?

The new structure of the Affordable Care Act focuses on preventive care and wellness, and a client-centered approach to treating and managing various:

Which type of fee-for-service plan covers some hospital services and supplies, x-rays, and prescribed medicine?

Which of the following is made up of private physicians in private offices who provide services to HMO members as well as clients with other forms of insurance?

Programs of All-Inclusive Care for the Elderly (PACE) provides an alternative to institutional care for persons ______ and older.

Stacy needs to apply for Medicare to pay for some of her medical expenses. She needs to go to the ____________ to obtain more information and to apply.

Medicaid provides health care services for children under the age of 10.

Medicaid is the largest source of funding for medical and health-related services for poor people. Within broad national guidelines established by federal statutes, regulations, and policies, each state must:

In 2002, Medicare started to pay qualified _________________ who enrolled in the Medicare program as providers.

Which of the following describes 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?

John recently found out that there are significant gaps in his Medicare coverage. This means that some of his medical services will not be covered, including:

Medicare is the designated health insurance for the aged and disabled.

Copayment is a specified amount that health insurance organization must pay for a specified service or procedure (e.g., $20 for an office visit).

Medicare Part D coverage provides subsidized access to prescription drug insurance coverage on a voluntary basis upon payment of a premium.

Which of the following is the main concern regarding the fee-for-service plan?

The National Center for Health Statistics defines health insurance as a broad term that includes private and public payers who cover medical expenditures incurred by a defined population in a variety of settings.

Fee-for-service plans are the traditional type of healthcare policy. The client determines a price for each type of service delivered, and then the insurance company pays the fee.

The Affordable Care Act emphasizes coverage for preventive services and a reformed delivery system that includes which of the following?

What is the term of the following definitions: -Coverage offered through one's own employment or a relative's employment.