SWK 222 Exam 3 Questions with Correct Answers Latest Update 2025-2026
In 2015 what was the percentage of earnings paid by each employee with a matching amount paid by
the what? With the self-employed paying what percent? - Answers 1.45 % by the employer
According to Census Bureau, data the number of people with health insurance rose to almost what in
2014? - Answers 87%
How many people were without health coverage in 2014? - Answers 13% or 33 million
Americans who lack health insurance cost the economy a year in lost productivity? - Answers billion
The cost of medical care for the uninsured totaled around what in 2013? - Answers 85 billion dollars
What percentage of health care was paid directly by the American consumer? - Answers 28%
Is the second fastest-growing component of the federal budget, overshadowed only by the growth of
public debt. - Answers Healthcare Spending
After Social Security what is the largest social insurance program in the U.S nd the largest public payer of
health care? - Answers Medicare
Medicare is designed to... - Answers Provide elderly people with prepaid hospital and optional medical
insurance.
What are the 4 major parts of Medicare? - Answers Supplemental Medical Insurance, The Medicare
Advantage program, Medicare Prescription Drug Improvement, and Modernization Act of 2003
Why do critics of the Medicare Modernization Act (MMA) charge that the program may increase drug
cost? - Answers By prohibiting Medicare from using its potentially huge purchasing power to negotiate
lower drug prices.
What are HSAs and how do they work? - Answers Health Savings Account(s); which offers a tax-free
shelter for those with high-deductible insurance. When money is put into an HSA it is NOT taxed.
What types of services does HI or Part A of Medicare cover? - Answers Provided free to persons age 65
or over who are eligible for Social Security or Railroad Retirement benefits.
What services does the SMI program cover? - Answers Physicians and surgeons services including some
covered by chiropractors, podiatrists, dentists, and optometrists.
Emergency room or outpatient clinic including same day surgery and ambulance services.
Laboratory test, X-rays, and other diagnostic radiology services. as well as certain preventative care
screening tests.
Ambulatory surgical center services in a Medicare-approved facility.
,Most physical and occupational therapy and speech pathology services
outpatient rehabilitation facility services and mental health treatment
radiation therapy
Approved durable medical equipment
Drugs that cannot be self-administered.
What is "Medigap" insurance. - Answers refers to private insurance plans that cover most of the
Medicare co-pays.
The HI program is primarily financed through a mandatory... tax for all employed and self-employed
people. - Answers Payroll
In 2015 was what percent of earnings with a matching amount paid by who? - Answers 1.45% matched
by the employer
In 2013 an additional HI tax of what percentage was added for those with an annual income above
$200,000? - Answers 0.9%
The SMI program financed by who? - Answers beneficiary payments and contributions from general tax
revenues.
The projected date of the HI trust fund exhaustion is? - Answers 2024
What is Medicaid? - Answers a means-tested public assistance program. Eligible people receive services
from physicians who accept Medicaid patients and other health care providers. Medicaid is a
federal/state program.
The federal government sets specific Medicaid eligibility standards, the type, amount, duration, and
scope of services covered, and rates of payment that all states must follow - Answers True
Medicaid eligible groups include.. - Answers Limited and low income families with children who meet
certain requirements.
Supplement Security Income (SSI) recipients
Infants born to Medicaid-eligible pregnant women
Children and pregnant woman whose family income is at or below 133 percent of the federal income
poverty level.
Recipients of adoption assistance and foster care under the TITLE IV-E of the Social Security Act
Certain Medicare beneficiaries and special protected groups.
, Other "categorically needy" groups
How is Medicaid funded? - Answers Federal/State matching funds.
In what way does Medicaid function as a subsidy to the middle class? - Answers When elderly parents
spend down on their assets, they become eligible for Medicaid. Without Medicaid, the middle-class
children of the elderly parents would be responsible for paying the 2015 a average national cost of
$80,300 a year for a semi-private room and $91,250 for a private room.
What is S-CHIP? - Answers State Children's Health Insurance Program
What population does S-CHIP serve? - Answers provides health care to low-income, uninsured children
under age 19 who are ineligible for Medicaid.
What is meant by the statement, "S-CHIP delinked state-subsidized child health care from welfare
receipt? - Answers From working families with incomes too high to qualify for Medicaid but too low to
afford private health insurance.
What is "cost shifting"? - Answers Charging one group of patients more in order to make up for
underemployment of others.
In 2014, health care spending accounted for about how much of GDP? - Answers 17.6%
Compared to less than what percentage for education? - Answers less than 5%
It is projected that by 2020 health care spending will rise to what? And about what percentage by GDP?
- Answers 4.6 trillion and almost 20%
DRGs and other prospective forms of reimbursement involve... - Answers lowered health care cost
without reducing the quality of health care services. Doctors who are reimbursed by managed care
companies have little incentive to over-treat patients or recommend unnecessary medical care.
What is managed care? - Answers A loose umbrella term for the organization of networks of health care
providers into a system that is cost-effective.
The Patient Protection and Affordable Care Act (ACA) requires most U.S citizens and legal residents to
have... - Answers Health Insurance
Almost everyone by 2014, with the exception of who must purchase health insurance or face a.. -
Answers low-income people, face a $695 annual fine.
The ACA was expected to cost $940 billion over 10 years, while reducing the... - Answers the deficit by
$143 billion in the firs 10 years and $1.2 trillion in the subsequent decade.
The uninsured and self-employed would purchase insurance through.. - Answers state-based HIEs
In 2015 what was the percentage of earnings paid by each employee with a matching amount paid by
the what? With the self-employed paying what percent? - Answers 1.45 % by the employer
According to Census Bureau, data the number of people with health insurance rose to almost what in
2014? - Answers 87%
How many people were without health coverage in 2014? - Answers 13% or 33 million
Americans who lack health insurance cost the economy a year in lost productivity? - Answers billion
The cost of medical care for the uninsured totaled around what in 2013? - Answers 85 billion dollars
What percentage of health care was paid directly by the American consumer? - Answers 28%
Is the second fastest-growing component of the federal budget, overshadowed only by the growth of
public debt. - Answers Healthcare Spending
After Social Security what is the largest social insurance program in the U.S nd the largest public payer of
health care? - Answers Medicare
Medicare is designed to... - Answers Provide elderly people with prepaid hospital and optional medical
insurance.
What are the 4 major parts of Medicare? - Answers Supplemental Medical Insurance, The Medicare
Advantage program, Medicare Prescription Drug Improvement, and Modernization Act of 2003
Why do critics of the Medicare Modernization Act (MMA) charge that the program may increase drug
cost? - Answers By prohibiting Medicare from using its potentially huge purchasing power to negotiate
lower drug prices.
What are HSAs and how do they work? - Answers Health Savings Account(s); which offers a tax-free
shelter for those with high-deductible insurance. When money is put into an HSA it is NOT taxed.
What types of services does HI or Part A of Medicare cover? - Answers Provided free to persons age 65
or over who are eligible for Social Security or Railroad Retirement benefits.
What services does the SMI program cover? - Answers Physicians and surgeons services including some
covered by chiropractors, podiatrists, dentists, and optometrists.
Emergency room or outpatient clinic including same day surgery and ambulance services.
Laboratory test, X-rays, and other diagnostic radiology services. as well as certain preventative care
screening tests.
Ambulatory surgical center services in a Medicare-approved facility.
,Most physical and occupational therapy and speech pathology services
outpatient rehabilitation facility services and mental health treatment
radiation therapy
Approved durable medical equipment
Drugs that cannot be self-administered.
What is "Medigap" insurance. - Answers refers to private insurance plans that cover most of the
Medicare co-pays.
The HI program is primarily financed through a mandatory... tax for all employed and self-employed
people. - Answers Payroll
In 2015 was what percent of earnings with a matching amount paid by who? - Answers 1.45% matched
by the employer
In 2013 an additional HI tax of what percentage was added for those with an annual income above
$200,000? - Answers 0.9%
The SMI program financed by who? - Answers beneficiary payments and contributions from general tax
revenues.
The projected date of the HI trust fund exhaustion is? - Answers 2024
What is Medicaid? - Answers a means-tested public assistance program. Eligible people receive services
from physicians who accept Medicaid patients and other health care providers. Medicaid is a
federal/state program.
The federal government sets specific Medicaid eligibility standards, the type, amount, duration, and
scope of services covered, and rates of payment that all states must follow - Answers True
Medicaid eligible groups include.. - Answers Limited and low income families with children who meet
certain requirements.
Supplement Security Income (SSI) recipients
Infants born to Medicaid-eligible pregnant women
Children and pregnant woman whose family income is at or below 133 percent of the federal income
poverty level.
Recipients of adoption assistance and foster care under the TITLE IV-E of the Social Security Act
Certain Medicare beneficiaries and special protected groups.
, Other "categorically needy" groups
How is Medicaid funded? - Answers Federal/State matching funds.
In what way does Medicaid function as a subsidy to the middle class? - Answers When elderly parents
spend down on their assets, they become eligible for Medicaid. Without Medicaid, the middle-class
children of the elderly parents would be responsible for paying the 2015 a average national cost of
$80,300 a year for a semi-private room and $91,250 for a private room.
What is S-CHIP? - Answers State Children's Health Insurance Program
What population does S-CHIP serve? - Answers provides health care to low-income, uninsured children
under age 19 who are ineligible for Medicaid.
What is meant by the statement, "S-CHIP delinked state-subsidized child health care from welfare
receipt? - Answers From working families with incomes too high to qualify for Medicaid but too low to
afford private health insurance.
What is "cost shifting"? - Answers Charging one group of patients more in order to make up for
underemployment of others.
In 2014, health care spending accounted for about how much of GDP? - Answers 17.6%
Compared to less than what percentage for education? - Answers less than 5%
It is projected that by 2020 health care spending will rise to what? And about what percentage by GDP?
- Answers 4.6 trillion and almost 20%
DRGs and other prospective forms of reimbursement involve... - Answers lowered health care cost
without reducing the quality of health care services. Doctors who are reimbursed by managed care
companies have little incentive to over-treat patients or recommend unnecessary medical care.
What is managed care? - Answers A loose umbrella term for the organization of networks of health care
providers into a system that is cost-effective.
The Patient Protection and Affordable Care Act (ACA) requires most U.S citizens and legal residents to
have... - Answers Health Insurance
Almost everyone by 2014, with the exception of who must purchase health insurance or face a.. -
Answers low-income people, face a $695 annual fine.
The ACA was expected to cost $940 billion over 10 years, while reducing the... - Answers the deficit by
$143 billion in the firs 10 years and $1.2 trillion in the subsequent decade.
The uninsured and self-employed would purchase insurance through.. - Answers state-based HIEs
