HCD 330 Module 5B Exam Questions With
Correct Answers
True or False: People with pre-existing conditions like diabetes or asthma are
| | | | | | | | | | | |
protected by the ACA, which doesn't permit insurers to deny them coverage or
| | | | | | | | | | | | |
charge them higher rates. This includes cheaper short-term plans that are now
| | | | | | | | | | | |
available. - CORRECT ANSWER✔✔-False | | |
Choose the best statement that best describes managed care health plans.
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Plans that...
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a) Healthcare delivery system that manages costs by controlling who the
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consumer sees and how much the services cost.
| | | | | | |
b) Allow patients to see any type of health care provider in a given geographic
| | | | | | | | | | | | | | |
location
c) Are provided tax free but have a high deductible
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d) Contract with health plan beneficiaries to provide a set fee for each service
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provided - CORRECT ANSWER✔✔-a | | |
What level or organization manages Medicaid insurance benefits?
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, a) State governments
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b) Accountable care organizations
| | |
c) Federal governments
| |
d) Managed care organizations - CORRECT ANSWER✔✔-a
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What is the role of the gatekeeper that some managed care organizations (MCOs)
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who use a gatekeeper?
| | | |
a) Determines the length of an inpatient hospital stay
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b) Coordinate care for patients, including referrals to specialists
| | | | | | | |
c) Evaluate the appropriateness of the types of services that other providers
| | | | | | | | | | | |
deliver
d) Negotiate costs for member services - CORRECT ANSWER✔✔-b
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The Patient Protection and Affordable Care Act (ACA) has several components.
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Which of the following components is incorporated into health insurance
| | | | | | | | | |
coverage obtained through the exchanges created by ACA?
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a) Higher lifetime monetary caps on reimbursement for healthcare services (e.g.
| | | | | | | | | | |
$1 million)
|
b) Lower premium rates for those without chronic diseases
| | | | | | | |
c) Income-based savings on the cost of coverage in the form of tax credits
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d) Free coverage for children under the age of 5 - CORRECT ANSWER✔✔-c
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Correct Answers
True or False: People with pre-existing conditions like diabetes or asthma are
| | | | | | | | | | | |
protected by the ACA, which doesn't permit insurers to deny them coverage or
| | | | | | | | | | | | |
charge them higher rates. This includes cheaper short-term plans that are now
| | | | | | | | | | | |
available. - CORRECT ANSWER✔✔-False | | |
Choose the best statement that best describes managed care health plans.
| | | | | | | | | |
|
Plans that...
|
a) Healthcare delivery system that manages costs by controlling who the
| | | | | | | | | | |
consumer sees and how much the services cost.
| | | | | | |
b) Allow patients to see any type of health care provider in a given geographic
| | | | | | | | | | | | | | |
location
c) Are provided tax free but have a high deductible
| | | | | | | | |
d) Contract with health plan beneficiaries to provide a set fee for each service
| | | | | | | | | | | | | |
provided - CORRECT ANSWER✔✔-a | | |
What level or organization manages Medicaid insurance benefits?
| | | | | | |
, a) State governments
| |
b) Accountable care organizations
| | |
c) Federal governments
| |
d) Managed care organizations - CORRECT ANSWER✔✔-a
| | | | | |
What is the role of the gatekeeper that some managed care organizations (MCOs)
| | | | | | | | | | | |
who use a gatekeeper?
| | | |
a) Determines the length of an inpatient hospital stay
| | | | | | | |
b) Coordinate care for patients, including referrals to specialists
| | | | | | | |
c) Evaluate the appropriateness of the types of services that other providers
| | | | | | | | | | | |
deliver
d) Negotiate costs for member services - CORRECT ANSWER✔✔-b
| | | | | | | |
The Patient Protection and Affordable Care Act (ACA) has several components.
| | | | | | | | | | |
Which of the following components is incorporated into health insurance
| | | | | | | | | |
coverage obtained through the exchanges created by ACA?
| | | | | | | |
a) Higher lifetime monetary caps on reimbursement for healthcare services (e.g.
| | | | | | | | | | |
$1 million)
|
b) Lower premium rates for those without chronic diseases
| | | | | | | |
c) Income-based savings on the cost of coverage in the form of tax credits
| | | | | | | | | | | | |
d) Free coverage for children under the age of 5 - CORRECT ANSWER✔✔-c
| | | | | | | | | | | |
