HSPM 412 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS| LATEST UPDATE
GUARANTEED SUCCESS
The Affordable Care Act [aka: Obamacare] is a comprehensive health reform signed into law
in 2010
True or false: LARGEST health care reform since the start of Medicare and Medicaid in 1965
True
When were most provisions implemented for the ACA? 2014
ACA is an ___ year plan 11
In ____ ______ the ACA was signed into law by President Obama March 23, 2010
Individual health plans must allow children to remain under their parents insurance until age
____ to remain covered as dependents 26
True or False: Does NOT matter: get married, have a child, in school, live at home, offered
insurance at work, dependent on taxes True
in 2011, Fix to Medicare Part D "Donut Hole": enrollees who
spend $2,830 OOP on Rx drugs will get $250 back and a 50% discount on brand name drugs
in 2011, There was a ____% tax on indoor tanning services 10% tax
in 2011, There was a ___% Medicare incentive payment for doctors and certain surgeons
working in under-served areas 10% medicare incentive
,What is an ACO? Accountable Care Organizations, Group of doctors, hospitals and other
health care providers that work together to coordinate patient care
What is Medicare? reduced reimbursements to hospitals with
high rates of "preventable" patient re-admissions
IDEA: link compensation to quality of care, while reducing
"unnecessary" inpatient care costs to the Medicare program
In 2013, there was a new ____% tax on investment income for individuals earning over
$200,000 (and couples earning over $250,000) 3.8%
in October 2013, what went online? Health Insurance Market Places
in 2014, insurers can no longer: (1) deny coverage to
individuals with medical conditions or (2) refuse to
renew policies because an individual submits claims
in 2014, Insurance premiums may vary according to: individual age, place of residence,
family size & tobacco use
True or False: in 2014, Insurers can no longer charge individuals with medical conditions (or
women!) higher prices True
Medicaid expanded to cover all individuals with: greater than 138% FPL
in 2014, Individual Mandate: all individuals are required to
carry health insurance or: pay a fine
, in 2020, it is predicted that: New 40% tax on high-cost "Cadillac" health plans
What is a "Cadillac" plan? high-cost (extremely generous) employer-sponsored health
insurance plans....The ACA defines high-cost = $10,000 ($27,500 for family)
in 2020 for the Complete fix to Medicare Part D "Donut Hole": Seniors pay standard 25%
drug costs until they reach
threshold for catastrophic coverage ($4,550) and their
payments drop to 5%
2 major crisis in health care reform: 1.) Rising health care costs 2.) rising number of
uninsured people
Health care spending has grown much ______ than the rest of the economy Faster
by 2010, $1 out of every $___ earned went to healthcare $6 (=to $3 trillion)
Forecast: nearly $1 out of every $___ in 2024 will go to healthcare $5
U.S GDP in 2014 is $17.9 _____ trillion
The _____ ______ holds 29% of total spending (majority) Federal government
The persistence of ______ has been
a key driver of health reform in the US uninsurance
largest group of uninsured are the working poor
GUARANTEED SUCCESS
The Affordable Care Act [aka: Obamacare] is a comprehensive health reform signed into law
in 2010
True or false: LARGEST health care reform since the start of Medicare and Medicaid in 1965
True
When were most provisions implemented for the ACA? 2014
ACA is an ___ year plan 11
In ____ ______ the ACA was signed into law by President Obama March 23, 2010
Individual health plans must allow children to remain under their parents insurance until age
____ to remain covered as dependents 26
True or False: Does NOT matter: get married, have a child, in school, live at home, offered
insurance at work, dependent on taxes True
in 2011, Fix to Medicare Part D "Donut Hole": enrollees who
spend $2,830 OOP on Rx drugs will get $250 back and a 50% discount on brand name drugs
in 2011, There was a ____% tax on indoor tanning services 10% tax
in 2011, There was a ___% Medicare incentive payment for doctors and certain surgeons
working in under-served areas 10% medicare incentive
,What is an ACO? Accountable Care Organizations, Group of doctors, hospitals and other
health care providers that work together to coordinate patient care
What is Medicare? reduced reimbursements to hospitals with
high rates of "preventable" patient re-admissions
IDEA: link compensation to quality of care, while reducing
"unnecessary" inpatient care costs to the Medicare program
In 2013, there was a new ____% tax on investment income for individuals earning over
$200,000 (and couples earning over $250,000) 3.8%
in October 2013, what went online? Health Insurance Market Places
in 2014, insurers can no longer: (1) deny coverage to
individuals with medical conditions or (2) refuse to
renew policies because an individual submits claims
in 2014, Insurance premiums may vary according to: individual age, place of residence,
family size & tobacco use
True or False: in 2014, Insurers can no longer charge individuals with medical conditions (or
women!) higher prices True
Medicaid expanded to cover all individuals with: greater than 138% FPL
in 2014, Individual Mandate: all individuals are required to
carry health insurance or: pay a fine
, in 2020, it is predicted that: New 40% tax on high-cost "Cadillac" health plans
What is a "Cadillac" plan? high-cost (extremely generous) employer-sponsored health
insurance plans....The ACA defines high-cost = $10,000 ($27,500 for family)
in 2020 for the Complete fix to Medicare Part D "Donut Hole": Seniors pay standard 25%
drug costs until they reach
threshold for catastrophic coverage ($4,550) and their
payments drop to 5%
2 major crisis in health care reform: 1.) Rising health care costs 2.) rising number of
uninsured people
Health care spending has grown much ______ than the rest of the economy Faster
by 2010, $1 out of every $___ earned went to healthcare $6 (=to $3 trillion)
Forecast: nearly $1 out of every $___ in 2024 will go to healthcare $5
U.S GDP in 2014 is $17.9 _____ trillion
The _____ ______ holds 29% of total spending (majority) Federal government
The persistence of ______ has been
a key driver of health reform in the US uninsurance
largest group of uninsured are the working poor
