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HSA 3111 ACTUAL FINALS ANSWERS AND QUESTIONS SET A.pdf

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HSA 3111 ACTUAL FINALS ANSWERS AND QUESTIONS SET A.pdf

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HSA 3111 ACTUAL FINALS ANSWERS AND
QUESTIONS SET A+
✔✔employer-based insurance - ✔✔- wwII wage controls -> benefits competition
- tax advantages

✔✔Medicare - ✔✔- 1965
- Part A: hospitals
- Part B: medical
- Part C: Medicare Advantage (1997)
- Part D: prescriptions
- mostly people 65+, disabled, end-stage renal disease

✔✔Medicaid - ✔✔- 1965
- federal-state partnership
- categorical eligibility
- state variation in benefits
- ACA expansion option 2010
- serves low-income

✔✔CHIP - ✔✔- 1997
- children's health insurance program
- extend coverage to children in families above Medicaid eligibility
- state administered w/ federal matching
- covers nearly 10 million kids

✔✔HMO Act - ✔✔- 1973
- provided federal support for health maintenance organizations (HMOs)
- attempt to control costs through managed care

✔✔EMTALA - ✔✔- 1986
- Emergency Medical Treatment and Labor Act
- required to proved ER services regardless of ability to pay

, ✔✔COBRA - ✔✔- 1986
- Consolidated Omnibus Budget Reconciliation Act
- continue health insurance coverage after leaving employment

✔✔HIPAA - ✔✔- 1986
- Health Insurance Portability and Accountability Act
- est. privacy standards and insurance reforms

✔✔ACA - ✔✔- 2010
- Affordable Care Act
- expanded coverage
- est. marketplaces
- reform insurance practices

✔✔health - ✔✔a state of complete physical, mental, and social well-being and not
merely the absence of disease or infirmity

✔✔health outcomes/indicators - ✔✔- how we measure health status
- life expectancy (76 in US)
- infant mortality (5.4/1000)
- chronic disease (diabetes, hypertension, obesity)
- US has lower life expectancy but spends more of its GDP on healthcare

✔✔international comparison - ✔✔- US ranks 11th
- lots of uninsured, widest disparities, poorer population health, highest per capita
spending

✔✔social determinants of health - ✔✔- economic stability: income, employment,
financial security
- social/community context: support, discrimination, civic engagement
- education access: literacy, early childhood, vocational training
- healthcare access: coverage, quality, health literacy
- neighborhood/ environment: housing, transportation, safety, green spaces

✔✔public sector - ✔✔- safety-net coverage
- population health monitoring
- healthcare regulation
- research funding

✔✔private sector - ✔✔- care delivery
- insurance admin
- innovation and technology
- medical education

✔✔federal agencies - ✔✔- CMS: Medicare/Medicaid Admin

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