HPA 210 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Payment sources of health care - CORRECT ANSWER - public health insurance(39%)
-medicare (20%)
-Medicaid(15%)
Private health insurance(33%)
-employee health insurance
-marketplace
out of pocket(12%)
-deductibles
-copay
-coinsurance
-direct payment
Where does money come from for insurance - CORRECT ANSWER - taxes
-medicare
-medicaid
-chip
-tricare
-public health insurance
What do taxes also pay for - CORRECT ANSWER - screenings
mitigation of community health hazards
primary payment sources for the US's _________ annual health care bill - CORRECT
ANSWER - $2.9 trillion annual health care bill.
,Investment - CORRECT ANSWER - this category consists of research, structures and
equipment
Other Payers - CORRECT ANSWER - this category comprises worksite health care,
workers' compensation, vocational rehabilitation, Indian Health Services, and maternal and child
health.
Other Public Health Insurance - CORRECT ANSWER - this category includes CHIP
(Children's Health Insurance Program) and Department of Defense and Veterans Affairs health
care.
Out-of-Pocket - CORRECT ANSWER - this category is made up of consumer spending
on deductibles, copays, co-insurance as well as goods and care not covered by insurance. It is
does not include insurance premiums.
is estimated that the US spends roughly __________ on health care - CORRECT
ANSWER - $3.1 trillion a year
Health care spending as a share of the US economy (or GDP) comes in at roughly _________ -
CORRECT ANSWER - 17.5%
US spends roughly 4.5% of GDP on defense
tell me the average person spends _________on health care each year - CORRECT
ANSWER - -$7,097 on average per person
-Females in the US spend more than males ($7,860/year vs. $6,313/year)
-elderly pay the most for health care ($34,783/year for the 85+ cohort
average spending on heath care for variety of ages - CORRECT ANSWER - 0 to 18
$3,628
19 to 44 $4,422
45 to 64 $8,370
,65 to 84 $15,857
85 and older $34,783
All Ages $7,097
top three spending categories in heath care - CORRECT ANSWER - Hospital care,
physician and clinical services
prescription drug
---were the three top spending categories in 1960 and remain so today
how many drugs are purchased out of pocket - CORRECT ANSWER - -1960, 96% of
prescription drugs were purchased via out-of-pocket
-2014 when 16% of prescription drugs were purchased via out-of-pocket.
four primary ways Americans obtain health insurance coverage: - CORRECT ANSWER -
Medicare
Medicaid
Employer-sponsored insurance
Individual plans
Medicare - CORRECT ANSWER - is a federal social insurance program providing
coverage to those 65 years of age and older who have worked and paid into the system.
Medicare for people under the age of 65 - CORRECT ANSWER - Additionally, Medicare
provides coverage for people under 65 year who have permanent disabilities, end-stage renal
(kidney) disease and amyotrophic lateral sclerosis (ALS). According to the US Department of
Health and Human Services, 53.8 million people have Medicare.
Medicare Part A - CORRECT ANSWER - covers hospital care, skilled nursing care, and
home health services. It is paid for by payroll taxes.
, Medicare Part B - CORRECT ANSWER - covers physician services and durable medical
equipment (e.g., wheelchairs, walkers, blood sugar monitors, and oxygen equipment). It is paid
for by general tax revenues (73%) and monthly beneficiary premiums (25%).
Medicare Part C - CORRECT ANSWER - is also known Medicare Advantage Plans or
Medicare managed care programs offered through private insurance companies which are
approved by Medicare. Roughly one-quarter of Medicare beneficiaries are enrolled in such plans.
These plans cover all services provided through Parts A and B and often times offer additional
services and benefits. Medicare pays a fixed amount to the insurance company for each
beneficiary enrolled in its plan. Beneficiaries also may be required to pay a monthly premium
depending on the plan they select.
Medicare Part D - CORRECT ANSWER - covers prescription drugs. It is paid for by
general tax revenues (73%), monthly beneficiary premiums (14%) and state payments (13%).
nearly _________ of Medicare beneficiaries have some form of supplemental insurance -
CORRECT ANSWER - 90%
Supplemental insurance for Medicare - CORRECT ANSWER - -33% of Medicare
beneficiaries are enrolled in Medicare Advantage Plans
-25% of Medicare enrollees receive health insurance coverage through their employer or former
employer via employer sponsored retiree coverage
-17% of Medicare enrollees have Medigap plans designed to help offset deductibles, coinsurance
and copays (in exchange for a monthly premium)
-15% of Medicare enrollees are eligible for Medicaid (known as dual eligible beneficiaries)
Medicaid - CORRECT ANSWER - is a joint federal-state program with the federal
government paying 50 to 83 percent of total costs from general tax revenues
Who controls Medicaid - CORRECT ANSWER - federal government sets broad eligibility
and service guidelines for Medicaid, states exercise considerable control over specific enrollment
thresholds and the generosity of benefits
Questions and CORRECT Answers
Payment sources of health care - CORRECT ANSWER - public health insurance(39%)
-medicare (20%)
-Medicaid(15%)
Private health insurance(33%)
-employee health insurance
-marketplace
out of pocket(12%)
-deductibles
-copay
-coinsurance
-direct payment
Where does money come from for insurance - CORRECT ANSWER - taxes
-medicare
-medicaid
-chip
-tricare
-public health insurance
What do taxes also pay for - CORRECT ANSWER - screenings
mitigation of community health hazards
primary payment sources for the US's _________ annual health care bill - CORRECT
ANSWER - $2.9 trillion annual health care bill.
,Investment - CORRECT ANSWER - this category consists of research, structures and
equipment
Other Payers - CORRECT ANSWER - this category comprises worksite health care,
workers' compensation, vocational rehabilitation, Indian Health Services, and maternal and child
health.
Other Public Health Insurance - CORRECT ANSWER - this category includes CHIP
(Children's Health Insurance Program) and Department of Defense and Veterans Affairs health
care.
Out-of-Pocket - CORRECT ANSWER - this category is made up of consumer spending
on deductibles, copays, co-insurance as well as goods and care not covered by insurance. It is
does not include insurance premiums.
is estimated that the US spends roughly __________ on health care - CORRECT
ANSWER - $3.1 trillion a year
Health care spending as a share of the US economy (or GDP) comes in at roughly _________ -
CORRECT ANSWER - 17.5%
US spends roughly 4.5% of GDP on defense
tell me the average person spends _________on health care each year - CORRECT
ANSWER - -$7,097 on average per person
-Females in the US spend more than males ($7,860/year vs. $6,313/year)
-elderly pay the most for health care ($34,783/year for the 85+ cohort
average spending on heath care for variety of ages - CORRECT ANSWER - 0 to 18
$3,628
19 to 44 $4,422
45 to 64 $8,370
,65 to 84 $15,857
85 and older $34,783
All Ages $7,097
top three spending categories in heath care - CORRECT ANSWER - Hospital care,
physician and clinical services
prescription drug
---were the three top spending categories in 1960 and remain so today
how many drugs are purchased out of pocket - CORRECT ANSWER - -1960, 96% of
prescription drugs were purchased via out-of-pocket
-2014 when 16% of prescription drugs were purchased via out-of-pocket.
four primary ways Americans obtain health insurance coverage: - CORRECT ANSWER -
Medicare
Medicaid
Employer-sponsored insurance
Individual plans
Medicare - CORRECT ANSWER - is a federal social insurance program providing
coverage to those 65 years of age and older who have worked and paid into the system.
Medicare for people under the age of 65 - CORRECT ANSWER - Additionally, Medicare
provides coverage for people under 65 year who have permanent disabilities, end-stage renal
(kidney) disease and amyotrophic lateral sclerosis (ALS). According to the US Department of
Health and Human Services, 53.8 million people have Medicare.
Medicare Part A - CORRECT ANSWER - covers hospital care, skilled nursing care, and
home health services. It is paid for by payroll taxes.
, Medicare Part B - CORRECT ANSWER - covers physician services and durable medical
equipment (e.g., wheelchairs, walkers, blood sugar monitors, and oxygen equipment). It is paid
for by general tax revenues (73%) and monthly beneficiary premiums (25%).
Medicare Part C - CORRECT ANSWER - is also known Medicare Advantage Plans or
Medicare managed care programs offered through private insurance companies which are
approved by Medicare. Roughly one-quarter of Medicare beneficiaries are enrolled in such plans.
These plans cover all services provided through Parts A and B and often times offer additional
services and benefits. Medicare pays a fixed amount to the insurance company for each
beneficiary enrolled in its plan. Beneficiaries also may be required to pay a monthly premium
depending on the plan they select.
Medicare Part D - CORRECT ANSWER - covers prescription drugs. It is paid for by
general tax revenues (73%), monthly beneficiary premiums (14%) and state payments (13%).
nearly _________ of Medicare beneficiaries have some form of supplemental insurance -
CORRECT ANSWER - 90%
Supplemental insurance for Medicare - CORRECT ANSWER - -33% of Medicare
beneficiaries are enrolled in Medicare Advantage Plans
-25% of Medicare enrollees receive health insurance coverage through their employer or former
employer via employer sponsored retiree coverage
-17% of Medicare enrollees have Medigap plans designed to help offset deductibles, coinsurance
and copays (in exchange for a monthly premium)
-15% of Medicare enrollees are eligible for Medicaid (known as dual eligible beneficiaries)
Medicaid - CORRECT ANSWER - is a joint federal-state program with the federal
government paying 50 to 83 percent of total costs from general tax revenues
Who controls Medicaid - CORRECT ANSWER - federal government sets broad eligibility
and service guidelines for Medicaid, states exercise considerable control over specific enrollment
thresholds and the generosity of benefits
