HSC 110 MIDTERM UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. Affordable Care Act (ACA)
Answer:
A significant healthcare reform law in the U.S. that aimed to expand insurance coverage and improve
healthcare access. (2010)
Question:
2. Increased insurance coverage and enhanced access to preventive care, chronic disease management, and
reduces hospital utilization.
Answer:
impact of ACA on insurance coverage
Question:
3. almshouses
Answer:
What did hospitals evolve from?
Question:
4. a group of teachers in dallas
Answer:
Who created the first insurance plan?
Question:
5. Medicare
Answer:
A federal health insurance program primarily for individuals aged 65 and older, as well as some younger
people with disabilities.
Question:
6. medicare part A
Answer:
Inpatient coverage, home health, hospice
Question:
7. medicare part B
Answer:
Outpatient care. Extends Medicare to supplemental treatments, and physicians
Question:
8. medicare part C
Answer:
Medicare Advantage Plans
, Question:
9. medicare part D
Answer:
Prescription drug coverage
Question:
10. PPO's (Preferred Provider Organizations)
Answer:
-offer more network flexibility
-cover care provided both inside and outside of the plan's provider network
-costs more for out-of-network care
-private health insurance
-fee for service
Question:
11. HMOs (Health Maintenance Organizations)
Answer:
-prepaid health insurance that only covers care provided by providers inside the HMO network
-costs less
-fixed fee
Question:
12. EPOs (exclusive provider organizations)
Answer:
- An insurance plan that allows access to health care from a network physician, facility or other health care
professional, including specialists, without designating a Primary Physician or obtaining a referral unlike
HMOs
- Does not provide out of network.
Question:
13. Intermediate Care Facilities (ICFs)
Answer:
Facilities that provide active treatment for individuals with developmental disabilities and other special
needs.
-generic training, treatment, and health services
Question:
14. Who are ICFs for?
Answer:
inpatient psychiatric services for individuals under 21, services for adults 65 or older in an institution for
mental disease or disability
Question:
15. Nursing Homes
Answer:
Residential facilities for individuals who require assistance with daily activities, differing from early
nursing homes in mission, regulation, and services.
CORRECT ANSWERS
Question:
1. Affordable Care Act (ACA)
Answer:
A significant healthcare reform law in the U.S. that aimed to expand insurance coverage and improve
healthcare access. (2010)
Question:
2. Increased insurance coverage and enhanced access to preventive care, chronic disease management, and
reduces hospital utilization.
Answer:
impact of ACA on insurance coverage
Question:
3. almshouses
Answer:
What did hospitals evolve from?
Question:
4. a group of teachers in dallas
Answer:
Who created the first insurance plan?
Question:
5. Medicare
Answer:
A federal health insurance program primarily for individuals aged 65 and older, as well as some younger
people with disabilities.
Question:
6. medicare part A
Answer:
Inpatient coverage, home health, hospice
Question:
7. medicare part B
Answer:
Outpatient care. Extends Medicare to supplemental treatments, and physicians
Question:
8. medicare part C
Answer:
Medicare Advantage Plans
, Question:
9. medicare part D
Answer:
Prescription drug coverage
Question:
10. PPO's (Preferred Provider Organizations)
Answer:
-offer more network flexibility
-cover care provided both inside and outside of the plan's provider network
-costs more for out-of-network care
-private health insurance
-fee for service
Question:
11. HMOs (Health Maintenance Organizations)
Answer:
-prepaid health insurance that only covers care provided by providers inside the HMO network
-costs less
-fixed fee
Question:
12. EPOs (exclusive provider organizations)
Answer:
- An insurance plan that allows access to health care from a network physician, facility or other health care
professional, including specialists, without designating a Primary Physician or obtaining a referral unlike
HMOs
- Does not provide out of network.
Question:
13. Intermediate Care Facilities (ICFs)
Answer:
Facilities that provide active treatment for individuals with developmental disabilities and other special
needs.
-generic training, treatment, and health services
Question:
14. Who are ICFs for?
Answer:
inpatient psychiatric services for individuals under 21, services for adults 65 or older in an institution for
mental disease or disability
Question:
15. Nursing Homes
Answer:
Residential facilities for individuals who require assistance with daily activities, differing from early
nursing homes in mission, regulation, and services.