Test - GBA 1 - Practice Exam: Directing Benefits Programs Part 1| Questions and Answers
|Complete Solutions Graded A+ |100% Correct
Which of the following statements regarding the impact of the Genetic Information
Nondiscrimination Act (GINA) on wellness programs and health risk assessments is (are)
correct? Wellness programs that avoid implementing a health risk assessment which solicits
genetic information are in general GINA-compliant, and GINA allows exceptions for inquiries
through voluntary wellness programs.
Managed behavioral healthcare organizations have the potential to offer significant savings
because of which of the following? They allow large, self-funded employers to offer the
same behavioral health benefits across all health plans offered, and they are equipped with
sophisticated administrative, operational and care management capabilities.
The usual steps in an evaluation of a health reform initiative include which of the following?
Describing the reform instrument and the implementation process, gathering data about
changes in health service performance and possibly also in health data, and assessing whether
these data really are outcomes of the reform
The usual steps in an evaluation of a health reform initiative include which of the following?
Describing the reform instrument and the implementation process
Gathering data about changes in health service performance and possibly also in health data
Assessing whether these data really are outcomes of the reform
A.) I only
B.) II only
C.) I and II only
D.) II and III only
E.) I, II and III
, Maximum limits in dental plans typically are expressed in which of the following ways? A
separate inside maximum for orthodontics and a separate maximum per person per calendar
year
Which of the following factors affect(s) the cost of an employer-sponsored dental plan?
Design of the plan, characteristics of the covered group, and employers' approach to plan
implementation
Evaluation of a health reform initiative should be conducted at which of the following times?
Before it starts, During its implementation & After its implementation
Insurance can be distinguished from gambling by which of the following factors?
Insurance handles existing risk while gambling creates a new risk, and Insurance is based on a
mutual sharing of losses that occur while gambling involves a gain for one party at the expense
of another.
Which of the following are common ways pharmacy benefit managers (PBMs) typically
generate profits? Charging payers an administrative fee per transaction based on the
number of prescriptions or employees, and filling mail-service prescriptions from their wholly
owned mail-order pharmacies.
Which of the following statements concerning maximum allowable cost (MAC) for drug benefits
is (are) correct? MAC programs reimburse up to a certain threshold on selected, common
generics, and MAC pricing's genesis was the federal Medicaid program.
In comparing high-deductible health plan/health savings accounts (HDHP/HSAs) with high
deductible health plan/health reimbursement arrangements (HDHP/HRAs), which of the
following statements regarding these plans is (are) correct? HSAs are linked to plans with
higher annual deductibles than HRAs.
|Complete Solutions Graded A+ |100% Correct
Which of the following statements regarding the impact of the Genetic Information
Nondiscrimination Act (GINA) on wellness programs and health risk assessments is (are)
correct? Wellness programs that avoid implementing a health risk assessment which solicits
genetic information are in general GINA-compliant, and GINA allows exceptions for inquiries
through voluntary wellness programs.
Managed behavioral healthcare organizations have the potential to offer significant savings
because of which of the following? They allow large, self-funded employers to offer the
same behavioral health benefits across all health plans offered, and they are equipped with
sophisticated administrative, operational and care management capabilities.
The usual steps in an evaluation of a health reform initiative include which of the following?
Describing the reform instrument and the implementation process, gathering data about
changes in health service performance and possibly also in health data, and assessing whether
these data really are outcomes of the reform
The usual steps in an evaluation of a health reform initiative include which of the following?
Describing the reform instrument and the implementation process
Gathering data about changes in health service performance and possibly also in health data
Assessing whether these data really are outcomes of the reform
A.) I only
B.) II only
C.) I and II only
D.) II and III only
E.) I, II and III
, Maximum limits in dental plans typically are expressed in which of the following ways? A
separate inside maximum for orthodontics and a separate maximum per person per calendar
year
Which of the following factors affect(s) the cost of an employer-sponsored dental plan?
Design of the plan, characteristics of the covered group, and employers' approach to plan
implementation
Evaluation of a health reform initiative should be conducted at which of the following times?
Before it starts, During its implementation & After its implementation
Insurance can be distinguished from gambling by which of the following factors?
Insurance handles existing risk while gambling creates a new risk, and Insurance is based on a
mutual sharing of losses that occur while gambling involves a gain for one party at the expense
of another.
Which of the following are common ways pharmacy benefit managers (PBMs) typically
generate profits? Charging payers an administrative fee per transaction based on the
number of prescriptions or employees, and filling mail-service prescriptions from their wholly
owned mail-order pharmacies.
Which of the following statements concerning maximum allowable cost (MAC) for drug benefits
is (are) correct? MAC programs reimburse up to a certain threshold on selected, common
generics, and MAC pricing's genesis was the federal Medicaid program.
In comparing high-deductible health plan/health savings accounts (HDHP/HSAs) with high
deductible health plan/health reimbursement arrangements (HDHP/HRAs), which of the
following statements regarding these plans is (are) correct? HSAs are linked to plans with
higher annual deductibles than HRAs.
