MHA 707 Exam D Study Guide questions with verified
solutions graded A+ already passed
1. What groups
of Americans -Unemployed,
were -Employed with no ESI (employer-sponsored ins)
largely uninsured -Young employees
when the ACA -Those who didn't take ESI
was being
con- sidered? -Those who chose not to be insured
2. Why didn't
the ACA go to Each had its own stakeholder with invested interest in continuing
a single-payer
or an NHI their role in the HC system. Allow many to purchase medicaid with
format? What means tested premium employers shift twd medicaid b/c it was
was the cheaper than having private ins
Public potion?
3. What were
the hoped
advan- tages
of achiev- ing
expanded Reduce increased care, expand rationing of care, costly exacerbation
coverage of health conditions, uncompensated care for providers (academic
under the providers)
ACA?
4. What features
of the ACA were
designed to in-
crease
coverage? What
are pre-ex- • Mandated that private health insurance plans meet minimum
isting standards
conditions and • Cannot discriminate against people with preexisting conditions
guaranteed
issue? How (guaranteed is- sue)
were they • Cannot impose lifetime and annual limits
Impacted by on coverage Must extend dependent coverage
ACA?
to age 26
, MHA 707 Exam D Study Guide questions with verified
solutions graded A+ already passed
5. What are pre-ex-
Made changing employer/insurance practical and more fair
isting
conditions andHelped many who could not get insurance because of early life events
guaranteed
issue? Removed disincentives to practice "less-healthy" lifestyles
stop smoking, lose weight, etc.
Allowed people to "game the system" - buy insurance only when a health
6. What are problem arises and be uninsured (not pay premiums) otherwise.
Health
insurance ex-State-based health insurance exchange for individuals and small businesses
changes? to compare plans, apply for financial assistance, purchase coverage
7. What is SHOP? Small Business Health Options Program Helped firms with 50 or less
employees to have insurance to cover them.
8. What was the
in- dividual Mandated that most citizens and legal residents have health insurance.
mandate and its distributes health care costs over people in poor health and good health
design? What (commu- nity rating)
happened to it?
9. How did ACA
aim to reduce
health care -Medicare fraud, excessive payment for prescription drugs, shift cost to
cost?
the state (stronger federal partnership in Medicaid), series of HC reforms
10. What was the would save $349 billion by 2021 and $480 billion by 2023, $1 Trillion in
Center for the following decade
Medic- aid and
Medicare
• Established to develop cost savings through health services
Innovation?
research that evalu- ates the ettectiveness and eflciency 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
11. Prevention and public health fund
, MHA 707 Exam D Study Guide questions with verified
solutions graded A+ already passed
Cuts in government spending (Dr. and hospital) and new revenues (tax
penalties)
solutions graded A+ already passed
1. What groups
of Americans -Unemployed,
were -Employed with no ESI (employer-sponsored ins)
largely uninsured -Young employees
when the ACA -Those who didn't take ESI
was being
con- sidered? -Those who chose not to be insured
2. Why didn't
the ACA go to Each had its own stakeholder with invested interest in continuing
a single-payer
or an NHI their role in the HC system. Allow many to purchase medicaid with
format? What means tested premium employers shift twd medicaid b/c it was
was the cheaper than having private ins
Public potion?
3. What were
the hoped
advan- tages
of achiev- ing
expanded Reduce increased care, expand rationing of care, costly exacerbation
coverage of health conditions, uncompensated care for providers (academic
under the providers)
ACA?
4. What features
of the ACA were
designed to in-
crease
coverage? What
are pre-ex- • Mandated that private health insurance plans meet minimum
isting standards
conditions and • Cannot discriminate against people with preexisting conditions
guaranteed
issue? How (guaranteed is- sue)
were they • Cannot impose lifetime and annual limits
Impacted by on coverage Must extend dependent coverage
ACA?
to age 26
, MHA 707 Exam D Study Guide questions with verified
solutions graded A+ already passed
5. What are pre-ex-
Made changing employer/insurance practical and more fair
isting
conditions andHelped many who could not get insurance because of early life events
guaranteed
issue? Removed disincentives to practice "less-healthy" lifestyles
stop smoking, lose weight, etc.
Allowed people to "game the system" - buy insurance only when a health
6. What are problem arises and be uninsured (not pay premiums) otherwise.
Health
insurance ex-State-based health insurance exchange for individuals and small businesses
changes? to compare plans, apply for financial assistance, purchase coverage
7. What is SHOP? Small Business Health Options Program Helped firms with 50 or less
employees to have insurance to cover them.
8. What was the
in- dividual Mandated that most citizens and legal residents have health insurance.
mandate and its distributes health care costs over people in poor health and good health
design? What (commu- nity rating)
happened to it?
9. How did ACA
aim to reduce
health care -Medicare fraud, excessive payment for prescription drugs, shift cost to
cost?
the state (stronger federal partnership in Medicaid), series of HC reforms
10. What was the would save $349 billion by 2021 and $480 billion by 2023, $1 Trillion in
Center for the following decade
Medic- aid and
Medicare
• Established to develop cost savings through health services
Innovation?
research that evalu- ates the ettectiveness and eflciency 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
11. Prevention and public health fund
, MHA 707 Exam D Study Guide questions with verified
solutions graded A+ already passed
Cuts in government spending (Dr. and hospital) and new revenues (tax
penalties)
