MHA 707 Exam D Study Guide Questions and
Answers with Verified Solutions | Latest
Updated 2026
What groups of Americans were -Unemployed,
largely uninsured when the ACA -Employed with no ESI
was (employer-sponsored ins)
being considered? -Young employees
-Those who didn't take ESI
-Those who chose not to be insured
Why didn't the ACA go to a single- Each had its own stakeholder with
payer or an NHI format? What was invested interest
the Public potion? in continuing their role in the HC system.
Allow
many to purchase medicaid with means
tested
premium employers shift twd medicaid b/c
it was
cheaper than having private ins
What were the hoped advantages Reduce increased care, expand rationing
of of care,
achieving expanded coverage costly exacerbation of health conditions,
under uncompensated care for providers
the ACA? (academic
providers)
,What features of the ACA were •Mandated that private health insurance
designed to increase coverage? plans
What are pre-existing conditions meet minimum standards
and •Cannot discriminate against people with
guaranteed issue? How were they preexisting conditions (guaranteed issue)
Impacted by ACA? •Cannot impose lifetime and annual limits
on
coverage
Must extend dependent coverage to age
26
What are pre-existing conditions Made changing employer/insurance
and practical and
guaranteed issue? more fair
Helped many who could not get insurance
because of early life events
Removed disincentives to practice
“less-healthy”
lifestyles
stop smoking, lose weight, etc.
Allowed people to “game the system” - buy
insurance only when a health problem
arises and
be uninsured (not pay premiums)
otherwise.
What are Health insurance State-based health insurance exchange for
exchanges? individuals and small businesses to
compare plans,
apply for financial assistance, purchase
coverage
, What is SHOP? Small Business Health Options Program
Helped
firms with 50 or less employees to have
insurance
to cover them.
What was the individual mandate Mandated that most citizens and legal
and its design? What happened to residents
it? have health insurance.
distributes health care costs over people in
poor
health and good health (community rating)
What was the Center for Medicaid •Established to develop cost savings
and Medicare Innovation? through
health services research that evaluates the
effectiveness and efficiency of health care
treatments (Like NICE in United Kingdom)
•Testing various payment and service
delivery
models to achieve better care for patients,
better
health for communities, and lower costs
What are the source of funds for Prevention and public health fund
the Cuts in government spending (Dr. and
ACA? hospital)
and new revenues (tax penalties)
Answers with Verified Solutions | Latest
Updated 2026
What groups of Americans were -Unemployed,
largely uninsured when the ACA -Employed with no ESI
was (employer-sponsored ins)
being considered? -Young employees
-Those who didn't take ESI
-Those who chose not to be insured
Why didn't the ACA go to a single- Each had its own stakeholder with
payer or an NHI format? What was invested interest
the Public potion? in continuing their role in the HC system.
Allow
many to purchase medicaid with means
tested
premium employers shift twd medicaid b/c
it was
cheaper than having private ins
What were the hoped advantages Reduce increased care, expand rationing
of of care,
achieving expanded coverage costly exacerbation of health conditions,
under uncompensated care for providers
the ACA? (academic
providers)
,What features of the ACA were •Mandated that private health insurance
designed to increase coverage? plans
What are pre-existing conditions meet minimum standards
and •Cannot discriminate against people with
guaranteed issue? How were they preexisting conditions (guaranteed issue)
Impacted by ACA? •Cannot impose lifetime and annual limits
on
coverage
Must extend dependent coverage to age
26
What are pre-existing conditions Made changing employer/insurance
and practical and
guaranteed issue? more fair
Helped many who could not get insurance
because of early life events
Removed disincentives to practice
“less-healthy”
lifestyles
stop smoking, lose weight, etc.
Allowed people to “game the system” - buy
insurance only when a health problem
arises and
be uninsured (not pay premiums)
otherwise.
What are Health insurance State-based health insurance exchange for
exchanges? individuals and small businesses to
compare plans,
apply for financial assistance, purchase
coverage
, What is SHOP? Small Business Health Options Program
Helped
firms with 50 or less employees to have
insurance
to cover them.
What was the individual mandate Mandated that most citizens and legal
and its design? What happened to residents
it? have health insurance.
distributes health care costs over people in
poor
health and good health (community rating)
What was the Center for Medicaid •Established to develop cost savings
and Medicare Innovation? through
health services research that evaluates the
effectiveness and efficiency of health care
treatments (Like NICE in United Kingdom)
•Testing various payment and service
delivery
models to achieve better care for patients,
better
health for communities, and lower costs
What are the source of funds for Prevention and public health fund
the Cuts in government spending (Dr. and
ACA? hospital)
and new revenues (tax penalties)
