NUR 412 weekly quizzes with
complete detailed accurate solutions
80% commercial insurance, 15% Medicare, 5% Medicaid - answer ✔✔-Which of the payer mix
listed below is the most favorable to the financial health of the health care organization.
20% commercial insurance, 60% Medicaid, 20% Medicare
80% commercial insurance, 15% Medicare, 5% Medicaid
30% commercial insurance, 35% Medicaid, 35% Medicare
All of the above would receive the same amount of revenue regardless of payer mix.
True - answer ✔✔-If the ACA had been struck down by the Supreme Court and no replacement
bill passed, insurance companies will not be required to allow children to stay on their parent's
health plan until age 26, unless state law requires it.
True
False
Aggressive preauthorization procedures, designed to limit unnecessary tests or surgery. -
answer ✔✔-Since the passage of the ACA, insurance companies can control costs of their
products though:
Imposing lifetime caps on the amount of reimbursement for health care available to an
individual or a family.
Excluding those with pre-existing conditions from the insurance pool.
Aggressive preauthorization procedures, designed to limit unnecessary tests or surgery.
,Having wide rating bands, for example 1-10, so that most expensive health insurance product
can be 10 times the least expensive health insurance
The individual mandate remains the law, but the penalty for not having health insurance is now
0 dollars, as stipulated by the Tax Cuts and Jobs Act of 2017. - answer ✔✔-Which of the
following is true regarding the individual mandate in the Patient Protection and Affordable Care
Act of 2010 (ACA).
The individual mandate remains the law, but the penalty for not having health insurance is now
0 dollars, as stipulated by the Tax Cuts and Jobs Act of 2017.
The individual mandate only applies to young adults.
The individual mandate functions as initially enacted in the ACA.
The individual mandate has been deemed unconstitutional by the U.S Supreme Court .
False - answer ✔✔-Universal health care coverage always requires a single payer system
True
False
False - answer ✔✔-The ACA represents a form of socialized medicine.
True
False
False - answer ✔✔-In general, a person with a health insurance plan with an actuarial value of
90% will pay a larger proportion of their health care costs via cost sharing than a person with a
health insurance plan with an actuarial value of 70%
True
False
1,2,4 - answer ✔✔-Which of the following are true? Check all that apply.
, The ACA as initially passed included "Essential Benefits" that all health insurance must cover.
These include things like hospitalization and maternity care.
The ACA required "health insurance exchanges" so that people and small business could more
easily "shop" for a health insurance plan that best mets their needs
Cost shifting refers to the amount that is payed out of pocket by uses of health care when they
use services
Bad debt and charity care are bourn financially by those with commercial insurance.
True - answer ✔✔-One potential benefit of "essential benefits" packages is that people who
obtain health insurance are not unwittingly underinsured, for example, by purchasing an
insurance plan that did not include maternity or hospitalization.
True
False
1,3,4 - answer ✔✔-The President has direct and indirect influence over policy in a number of
ways. Check all that apply.
Through executive order.
Setting the agenda for what is voted on by the Senate and House of Representatives.
By shaping the administrative rule process through selection of the agency head.
Through veto of a bill that was passed by Congress.
False - answer ✔✔-Political action is inconsistent with the roles and responsibilities of the
professional nurse.
True
False
False - answer ✔✔-In general, most Americans understand the U.S. constitution, branches of
government, and the various routes by which something can become law.
True
complete detailed accurate solutions
80% commercial insurance, 15% Medicare, 5% Medicaid - answer ✔✔-Which of the payer mix
listed below is the most favorable to the financial health of the health care organization.
20% commercial insurance, 60% Medicaid, 20% Medicare
80% commercial insurance, 15% Medicare, 5% Medicaid
30% commercial insurance, 35% Medicaid, 35% Medicare
All of the above would receive the same amount of revenue regardless of payer mix.
True - answer ✔✔-If the ACA had been struck down by the Supreme Court and no replacement
bill passed, insurance companies will not be required to allow children to stay on their parent's
health plan until age 26, unless state law requires it.
True
False
Aggressive preauthorization procedures, designed to limit unnecessary tests or surgery. -
answer ✔✔-Since the passage of the ACA, insurance companies can control costs of their
products though:
Imposing lifetime caps on the amount of reimbursement for health care available to an
individual or a family.
Excluding those with pre-existing conditions from the insurance pool.
Aggressive preauthorization procedures, designed to limit unnecessary tests or surgery.
,Having wide rating bands, for example 1-10, so that most expensive health insurance product
can be 10 times the least expensive health insurance
The individual mandate remains the law, but the penalty for not having health insurance is now
0 dollars, as stipulated by the Tax Cuts and Jobs Act of 2017. - answer ✔✔-Which of the
following is true regarding the individual mandate in the Patient Protection and Affordable Care
Act of 2010 (ACA).
The individual mandate remains the law, but the penalty for not having health insurance is now
0 dollars, as stipulated by the Tax Cuts and Jobs Act of 2017.
The individual mandate only applies to young adults.
The individual mandate functions as initially enacted in the ACA.
The individual mandate has been deemed unconstitutional by the U.S Supreme Court .
False - answer ✔✔-Universal health care coverage always requires a single payer system
True
False
False - answer ✔✔-The ACA represents a form of socialized medicine.
True
False
False - answer ✔✔-In general, a person with a health insurance plan with an actuarial value of
90% will pay a larger proportion of their health care costs via cost sharing than a person with a
health insurance plan with an actuarial value of 70%
True
False
1,2,4 - answer ✔✔-Which of the following are true? Check all that apply.
, The ACA as initially passed included "Essential Benefits" that all health insurance must cover.
These include things like hospitalization and maternity care.
The ACA required "health insurance exchanges" so that people and small business could more
easily "shop" for a health insurance plan that best mets their needs
Cost shifting refers to the amount that is payed out of pocket by uses of health care when they
use services
Bad debt and charity care are bourn financially by those with commercial insurance.
True - answer ✔✔-One potential benefit of "essential benefits" packages is that people who
obtain health insurance are not unwittingly underinsured, for example, by purchasing an
insurance plan that did not include maternity or hospitalization.
True
False
1,3,4 - answer ✔✔-The President has direct and indirect influence over policy in a number of
ways. Check all that apply.
Through executive order.
Setting the agenda for what is voted on by the Senate and House of Representatives.
By shaping the administrative rule process through selection of the agency head.
Through veto of a bill that was passed by Congress.
False - answer ✔✔-Political action is inconsistent with the roles and responsibilities of the
professional nurse.
True
False
False - answer ✔✔-In general, most Americans understand the U.S. constitution, branches of
government, and the various routes by which something can become law.
True
