CEBS GBA 2 PRACTICE EXAM QUESTIONS
According to the RAND Health Insurance Experiment, which variable has the
greatest power in explaining health expenditures?
A.) Welfare eligibility
B.) Prior utilization
C.) Physical health (based on self-reported measures)
D.) General health (based on self-reported measures)
E.) Mental health (based on self-reported measures) - ANSWER-B.) Prior
utilization
A provision in some group life insurance plans that provides for the payment of
all or part of the death benefit in the event of the insured's terminal illness is
called:
A.) Accelerated death benefits
B.) Waiver of premiums
C.) Maturity value benefits
D.) Continuation-of-protection
E.) Assignment - ANSWER-A.) Accelerated death benefits
What reasons are given for the Silver plan being a popular choice among all the
Affordable Care Act (ACA) health plans?
,A.) The Silver plan has the greatest actuarial value of all the plans.
B.) Cost-sharing subsidies to lower out-of-pocket costs are available only to
people who select the Silver plan.
C.) The Silver plan has the greatest benefits, even more than the Gold and
Platinum plans.
D.) The Silver plan has the lowest out-of-pocket costs of any plan even before
any subsidies.
E.) Many people select the Silver plan because they are not eligible for the Gold
or Platinum plans. - ANSWER-B.) Cost-sharing subsidies to lower out-of-pocket
costs are available only to people who select the Silver plan.
Which of the following measures of cost is generally used by analysts when they
are examining the impact of insurance premiums on employees' choice of health
insurance plans?
A.) The loading percentage
B.) The total gross premium
C.) The insurer's profit
D.) The employee's out-of-pocket price
E.) The expected future gross premium - ANSWER-D.) The employee's out-of-
pocket price
Which of the following statements regarding recognition as a patient-centered
medical home (PCMH) is correct?
,A.) The only organization that can officially recognize a PCMH is the Federally
Qualified Health Center Demonstration.
B.) The only organization that can officially recognize a PCMH is the National
Committee for Quality Assurance (NCQA).
C.) No single organization is responsible for recognizing PCMHs.
D.) The main organization that recognizes PCMHs is the Joint Commission and
the Accreditation Commission for Health Care.
E.) A PCMH can be recognized only by the state in which it is domiciled. -
ANSWER-C.) No single organization is responsible for recognizing PCMHs.
Which of the following statements regarding private health insurance exchanges
and Small Business Health Options Program (SHOP) exchanges is correct?
A.) A lot of evidence has been produced to show that private exchanges have
been designed to make it easier for small business to self-insure.
B.) The income tax incentives previously provided to small employers in the
SHOP program have expired.
C.) Recently states were given the option of making SHOP exchanges mandatory
for all employers with fewer than 200 employees.
D.) Private exchanges could affect SHOP exchanges by siphoning enrollment
from them and thereby reducing revenue (administrative fees) critical to SHOPs'
financial viability.
E.) Unlike private exchanges, SHOP exchanges do not have the ability to offer
small employers a number of plan choices. - ANSWER-D.) Private exchanges
could affect SHOP exchanges by siphoning enrollment from them and thereby
reducing revenue (administrative fees) critical to SHOPs' financial viability.
, What is the waiting period for Social Security Disability Income (SSDI) benefits?
A.) One month
B.) Three consecutive months
C.) Five consecutive months
D.) Six consecutive months
E.) Twelve consecutive months - ANSWER-C.) Five consecutive months
"Desktop medicine" is a fully integrated approach using information technology
whose primary goal is to:
A.) Recruit prospective health plan subscribers
B.) Help track patients through their plan of care
C.) Encourage patient self-diagnosis using the Internet
D.) Gather health status metrics for large patient populations
E.) Expedite health provider use of technology - ANSWER-B.) Help track patients
through their plan of care
Until now, the biggest source of cost savings with private health insurance
exchanges has been:
A.) Transition to the defined contribution approach
B.) Increased use of technology
C.) Employees choosing less generous plans
According to the RAND Health Insurance Experiment, which variable has the
greatest power in explaining health expenditures?
A.) Welfare eligibility
B.) Prior utilization
C.) Physical health (based on self-reported measures)
D.) General health (based on self-reported measures)
E.) Mental health (based on self-reported measures) - ANSWER-B.) Prior
utilization
A provision in some group life insurance plans that provides for the payment of
all or part of the death benefit in the event of the insured's terminal illness is
called:
A.) Accelerated death benefits
B.) Waiver of premiums
C.) Maturity value benefits
D.) Continuation-of-protection
E.) Assignment - ANSWER-A.) Accelerated death benefits
What reasons are given for the Silver plan being a popular choice among all the
Affordable Care Act (ACA) health plans?
,A.) The Silver plan has the greatest actuarial value of all the plans.
B.) Cost-sharing subsidies to lower out-of-pocket costs are available only to
people who select the Silver plan.
C.) The Silver plan has the greatest benefits, even more than the Gold and
Platinum plans.
D.) The Silver plan has the lowest out-of-pocket costs of any plan even before
any subsidies.
E.) Many people select the Silver plan because they are not eligible for the Gold
or Platinum plans. - ANSWER-B.) Cost-sharing subsidies to lower out-of-pocket
costs are available only to people who select the Silver plan.
Which of the following measures of cost is generally used by analysts when they
are examining the impact of insurance premiums on employees' choice of health
insurance plans?
A.) The loading percentage
B.) The total gross premium
C.) The insurer's profit
D.) The employee's out-of-pocket price
E.) The expected future gross premium - ANSWER-D.) The employee's out-of-
pocket price
Which of the following statements regarding recognition as a patient-centered
medical home (PCMH) is correct?
,A.) The only organization that can officially recognize a PCMH is the Federally
Qualified Health Center Demonstration.
B.) The only organization that can officially recognize a PCMH is the National
Committee for Quality Assurance (NCQA).
C.) No single organization is responsible for recognizing PCMHs.
D.) The main organization that recognizes PCMHs is the Joint Commission and
the Accreditation Commission for Health Care.
E.) A PCMH can be recognized only by the state in which it is domiciled. -
ANSWER-C.) No single organization is responsible for recognizing PCMHs.
Which of the following statements regarding private health insurance exchanges
and Small Business Health Options Program (SHOP) exchanges is correct?
A.) A lot of evidence has been produced to show that private exchanges have
been designed to make it easier for small business to self-insure.
B.) The income tax incentives previously provided to small employers in the
SHOP program have expired.
C.) Recently states were given the option of making SHOP exchanges mandatory
for all employers with fewer than 200 employees.
D.) Private exchanges could affect SHOP exchanges by siphoning enrollment
from them and thereby reducing revenue (administrative fees) critical to SHOPs'
financial viability.
E.) Unlike private exchanges, SHOP exchanges do not have the ability to offer
small employers a number of plan choices. - ANSWER-D.) Private exchanges
could affect SHOP exchanges by siphoning enrollment from them and thereby
reducing revenue (administrative fees) critical to SHOPs' financial viability.
, What is the waiting period for Social Security Disability Income (SSDI) benefits?
A.) One month
B.) Three consecutive months
C.) Five consecutive months
D.) Six consecutive months
E.) Twelve consecutive months - ANSWER-C.) Five consecutive months
"Desktop medicine" is a fully integrated approach using information technology
whose primary goal is to:
A.) Recruit prospective health plan subscribers
B.) Help track patients through their plan of care
C.) Encourage patient self-diagnosis using the Internet
D.) Gather health status metrics for large patient populations
E.) Expedite health provider use of technology - ANSWER-B.) Help track patients
through their plan of care
Until now, the biggest source of cost savings with private health insurance
exchanges has been:
A.) Transition to the defined contribution approach
B.) Increased use of technology
C.) Employees choosing less generous plans
