Questions and CORRECT Answers
A person might buy dental insurance because - CORRECT ANSWER - If purchased
through an employer, the employer may pay a portion of the premium, Dental insurance is tax
exempt, He/she prefers the convenience of preparing for routine services via the purchase of
insurance
Which concepts or policies theoretically reduce the effects of adverse selection in the health
insurance market? - CORRECT ANSWER - Propitious selection and the Affordable Care
Act's Individual Mandate
Overall, ___________ of covered workers are enrolled in self-funded plans. - CORRECT
ANSWER - 63%
Under which rating schemes does the employer bear the risk? - CORRECT ANSWER -
Retrospective experience rating and Self-Insured
Discounted fee for service payment is most often used by _________ to pay for inpatient
hospital services. - CORRECT ANSWER - Smaller insurance companies
Fee for service reimbursement can lead to ___________ demand. - CORRECT
ANSWER - provider-induced
CPT is an abbreviation for - CORRECT ANSWER - Current Procedural Terminology
Medicare was expanded in 1972 to cover - CORRECT ANSWER - People <65 years
living with permanent disabilities and people diagnosed with end-stage renal disease
Under these reform models, incentives can be in the form of shared savings or losses -
CORRECT ANSWER - Accountable care organizations and bundled payments