MHA 707 Chapter 6 Review questions with verified
answers
-About ___ of people under the age of 65 were uninsured in 2017. Ans✓✓✓ 8%
"Regular" employer accepts much of the financial risk, but contracts with a MCO
to.... Ans✓✓✓ administer the plan
*90% of Americans have 1 risk factor, 52% have 2 or more highest proportion in
impoverished and racial/ethnic minorities* (Tobacco, obesity, poor diet,
substance abuse) Ans✓✓✓ True
About 66% of people under the age of 65 are covered through Private Insurance.
Ans✓✓✓ true
About 80% of employer sponsored plans have a deductible and the average
amount across plans is about $3,655 (2019) Ans✓✓✓ True
Adverse Selection Ans✓✓✓ the sicker people likely want more insurance
Because the United States lacks a _________________ how the money is paid to
the providers of health care has become very complicated. Ans✓✓✓ single
national health care payment system
Benefits of a NHEA Ans✓✓✓ -Comprehensive: includes all major components of
healthcare system in a unified, mutually exclusive, and exhaustive structure.
-Multidimensional: encompasses expenditures as well as payers.
, -Consistent: applies a common set of definitions that permits longitudinal
comparisons.
Capitation Ans✓✓✓ -fixed pre-payment per person to health care provider for an
agreed-on array of services during a contract period (per member/per month)
-payment is the same no matter how may services are provided.
-capitation encourages selection of the least expensive treatments and promotes
services likely to result in the lowest overall costs.
-May put the physician at odds with patient.
CHIP and VA programs are.. Ans✓✓✓ both federally administered
Chronic Diseases & Mental Health are an estimated ____ of the NHE Ans✓✓✓
90%
Chronic diseases are Ans✓✓✓ -defined broadly as conditions that last 1 year or
more and require ongoing medical attention. (heart disease, cancer, diabetes).
-Leading cause of death in the US. ^^^^
-Chronic conditions are also considered some of the most preventable of all
health conditions.
co-payments Ans✓✓✓ -Tiered copayment amounts tend to steer patients
toward lower cost products and services
-Coinsurance intended to steer patients toward
providers with lower rates and less intense treatments.
answers
-About ___ of people under the age of 65 were uninsured in 2017. Ans✓✓✓ 8%
"Regular" employer accepts much of the financial risk, but contracts with a MCO
to.... Ans✓✓✓ administer the plan
*90% of Americans have 1 risk factor, 52% have 2 or more highest proportion in
impoverished and racial/ethnic minorities* (Tobacco, obesity, poor diet,
substance abuse) Ans✓✓✓ True
About 66% of people under the age of 65 are covered through Private Insurance.
Ans✓✓✓ true
About 80% of employer sponsored plans have a deductible and the average
amount across plans is about $3,655 (2019) Ans✓✓✓ True
Adverse Selection Ans✓✓✓ the sicker people likely want more insurance
Because the United States lacks a _________________ how the money is paid to
the providers of health care has become very complicated. Ans✓✓✓ single
national health care payment system
Benefits of a NHEA Ans✓✓✓ -Comprehensive: includes all major components of
healthcare system in a unified, mutually exclusive, and exhaustive structure.
-Multidimensional: encompasses expenditures as well as payers.
, -Consistent: applies a common set of definitions that permits longitudinal
comparisons.
Capitation Ans✓✓✓ -fixed pre-payment per person to health care provider for an
agreed-on array of services during a contract period (per member/per month)
-payment is the same no matter how may services are provided.
-capitation encourages selection of the least expensive treatments and promotes
services likely to result in the lowest overall costs.
-May put the physician at odds with patient.
CHIP and VA programs are.. Ans✓✓✓ both federally administered
Chronic Diseases & Mental Health are an estimated ____ of the NHE Ans✓✓✓
90%
Chronic diseases are Ans✓✓✓ -defined broadly as conditions that last 1 year or
more and require ongoing medical attention. (heart disease, cancer, diabetes).
-Leading cause of death in the US. ^^^^
-Chronic conditions are also considered some of the most preventable of all
health conditions.
co-payments Ans✓✓✓ -Tiered copayment amounts tend to steer patients
toward lower cost products and services
-Coinsurance intended to steer patients toward
providers with lower rates and less intense treatments.
