PTHA 1301: Final Exam Review || with 100% Correct
Answers.
True or False: The profession of physical therapy will not be affected by the full enactment of
the Affordable Care Act (ACA). correct answers False, the ACA will have affect on
reimbursement of medicare and medicaid
True or False: Undocumented immigrants are covered by the Affordable Health Care Act.
correct answers False
What was the date for the final step of the Affordable Health Care Act to begin? correct answers
New Years Day 2014
True or False: When billing for Medicare, it doesn't matter what part of the country the provider
of the service is in. The bill is always the same. correct answers False; billing varies in different
regions of the country, this problem plays into increased costs and medicare fraud and abuse.
In T.R. Reid's opinion, which countries does he feel have the best health care system? correct
answers France, Japan, Britain
True or False: The United States looks at health care as a right. correct answers False
It is possible that increased health care services may have increase the death rate? correct
answers Yes; when receiving health care services or when hospitalized, there is an increased risk
of hospital acquired infections (HAIs) that may result in death
What does Roger Weisberg believe is the single most responsible driver of rising health care
costs? correct answers Fee-For-Service
What are the 3 main categories at the heart of the health care system? correct answers Patients,
providers, insurers
Dr. Atul Gawande discusses how he believes health care should use a team approach. What term
does he use to call this team approach? correct answers Pit Crew
What drives up health care costs? correct answers a) Technology and prescription drugs
b) Chronic disease
c) Aging population
d) Administration cost
a) Currently typifies the U.S. health care system
b) Emphasizes services by individual providers
c) Encourages more services but not necessarily better health care outcomes
d) Focuses on acute and complex services rather than prevention and primary care
e) Lacks a "shared responsibility" concept correct answers Fee-for-Service payment
, True or False: Health care spending increases have accelerated, and is now worst than ever.
correct answers False, health care spending have slowed and is now on pace with economic
growth
True or False: The number of uninsured has decreased since ACA. correct answers True
Approximately how many uninsured people are in the U.S.? correct answers More than 40
million people
In 2010, health care spending started to decline and has remained stable, but is projected to
slowly increase. Why is that? correct answers a) More enrolled in health plans
b) Still outpacing inflation and wage increases
c) Increased cost sharing
What are the insurance reforms made in 2010? correct answers a) Stay on parent's insurance
plans until age 26
b) Cannot deny anyone with pre-existing conditions
c) Individuals must purchase health insurance or pay an annual fine
d) Employers with more than 50 employees must provide health insurance or pay an annual fine
True or False: The uninsured or self-employed are able to purchase insurance through federal-
based exchanges. correct answers False, they are able to purchase insurance through state-based
exchanges
True or False: There are separate exchanges available for small business to purchase coverage.
correct answers True
True or False: The government funded states to establish exchanges up until 2015. correct
answers True
What reforms were made to Medicaid? correct answers a) Expanded to include 133% of federal
poverty level and childless adults
b) Government payed 100% of costs for covering newly eligible individuals up until 2016
What reforms were made to Medicare? correct answers a) Closes the prescription drug "donut
hole" by 2020 - limit on what the drug plan will cover for drugs
b) Seniors in the gap will receive 50% discount on brand name drugs
c) $500 billion cut in Medicare payments over the next decade
True or False: Under ACA, abortion is covered by health insurance. correct answers False
True or False: The public's view on ACA remains divided. correct answers True
*Method of allocating scarce resources
*Done by price and ability to pay
Answers.
True or False: The profession of physical therapy will not be affected by the full enactment of
the Affordable Care Act (ACA). correct answers False, the ACA will have affect on
reimbursement of medicare and medicaid
True or False: Undocumented immigrants are covered by the Affordable Health Care Act.
correct answers False
What was the date for the final step of the Affordable Health Care Act to begin? correct answers
New Years Day 2014
True or False: When billing for Medicare, it doesn't matter what part of the country the provider
of the service is in. The bill is always the same. correct answers False; billing varies in different
regions of the country, this problem plays into increased costs and medicare fraud and abuse.
In T.R. Reid's opinion, which countries does he feel have the best health care system? correct
answers France, Japan, Britain
True or False: The United States looks at health care as a right. correct answers False
It is possible that increased health care services may have increase the death rate? correct
answers Yes; when receiving health care services or when hospitalized, there is an increased risk
of hospital acquired infections (HAIs) that may result in death
What does Roger Weisberg believe is the single most responsible driver of rising health care
costs? correct answers Fee-For-Service
What are the 3 main categories at the heart of the health care system? correct answers Patients,
providers, insurers
Dr. Atul Gawande discusses how he believes health care should use a team approach. What term
does he use to call this team approach? correct answers Pit Crew
What drives up health care costs? correct answers a) Technology and prescription drugs
b) Chronic disease
c) Aging population
d) Administration cost
a) Currently typifies the U.S. health care system
b) Emphasizes services by individual providers
c) Encourages more services but not necessarily better health care outcomes
d) Focuses on acute and complex services rather than prevention and primary care
e) Lacks a "shared responsibility" concept correct answers Fee-for-Service payment
, True or False: Health care spending increases have accelerated, and is now worst than ever.
correct answers False, health care spending have slowed and is now on pace with economic
growth
True or False: The number of uninsured has decreased since ACA. correct answers True
Approximately how many uninsured people are in the U.S.? correct answers More than 40
million people
In 2010, health care spending started to decline and has remained stable, but is projected to
slowly increase. Why is that? correct answers a) More enrolled in health plans
b) Still outpacing inflation and wage increases
c) Increased cost sharing
What are the insurance reforms made in 2010? correct answers a) Stay on parent's insurance
plans until age 26
b) Cannot deny anyone with pre-existing conditions
c) Individuals must purchase health insurance or pay an annual fine
d) Employers with more than 50 employees must provide health insurance or pay an annual fine
True or False: The uninsured or self-employed are able to purchase insurance through federal-
based exchanges. correct answers False, they are able to purchase insurance through state-based
exchanges
True or False: There are separate exchanges available for small business to purchase coverage.
correct answers True
True or False: The government funded states to establish exchanges up until 2015. correct
answers True
What reforms were made to Medicaid? correct answers a) Expanded to include 133% of federal
poverty level and childless adults
b) Government payed 100% of costs for covering newly eligible individuals up until 2016
What reforms were made to Medicare? correct answers a) Closes the prescription drug "donut
hole" by 2020 - limit on what the drug plan will cover for drugs
b) Seniors in the gap will receive 50% discount on brand name drugs
c) $500 billion cut in Medicare payments over the next decade
True or False: Under ACA, abortion is covered by health insurance. correct answers False
True or False: The public's view on ACA remains divided. correct answers True
*Method of allocating scarce resources
*Done by price and ability to pay
