RMI 3011 Exam 4 Health Insurance -
Melvin Stith Question and answers 100%
correct
4 major problems of the US Healthcare delivery system - correct answer ✔1.
rising healthcare expenditures
2. large number of uninsured in the population
3. considerable waste and inefficiency
4. harmful insurer practices
Why are healthcare expenditures rising? - correct answer ✔- advances in
technology
- cost insulation because of third-party payers
- employer-sponsored health insurance
- free-for-service defects
- high administrative costs
- lack of transparency in cost and quality information
- cost shifting by Medicare and Medicaid
- rising prices in healthcare sector
- defensive medicine
What is the source of the waste and inefficiency problem in Healthcare? -
correct answer ✔- duplication of tests
- medical errors that are largely preventable
- unnecessary tests due to fear of lawsuits
- high administrative costs and excessive and redundant paperwork
, - readmissions into hospitals because of inadequate or ineffective initial
treatment
- hospitalizations for preventable conditions
- fraud and overbilling by healthcare providers
- overuse of expensive medical technology and emergency rooms
what are some examples of harmful insurer practices? - correct answer ✔-
exclusions for preexisting conditions
- rescission of insurance contracts to limit benefits
- lifetime or annual limits on benefits
What does the ACA promote? - correct answer ✔- lifetime limits and annual
limits prohibited
- preexisting conditions prohibited
- rescission of insurance policies prohibited
- retention of coverage until age 26
- guaranteed access to health insurance
- grandfathered plans
- minimum medical loss ratio
- limited waiting periods
who is the marketplace exchange limited to? - correct answer ✔US citizens
and legal residents who are not incarcerated
The ACA provides premium credits to make coverage more affordable -
correct answer ✔- premium tax credits and cost sharing subsidies are
available to eligible low-income individuals and families
Melvin Stith Question and answers 100%
correct
4 major problems of the US Healthcare delivery system - correct answer ✔1.
rising healthcare expenditures
2. large number of uninsured in the population
3. considerable waste and inefficiency
4. harmful insurer practices
Why are healthcare expenditures rising? - correct answer ✔- advances in
technology
- cost insulation because of third-party payers
- employer-sponsored health insurance
- free-for-service defects
- high administrative costs
- lack of transparency in cost and quality information
- cost shifting by Medicare and Medicaid
- rising prices in healthcare sector
- defensive medicine
What is the source of the waste and inefficiency problem in Healthcare? -
correct answer ✔- duplication of tests
- medical errors that are largely preventable
- unnecessary tests due to fear of lawsuits
- high administrative costs and excessive and redundant paperwork
, - readmissions into hospitals because of inadequate or ineffective initial
treatment
- hospitalizations for preventable conditions
- fraud and overbilling by healthcare providers
- overuse of expensive medical technology and emergency rooms
what are some examples of harmful insurer practices? - correct answer ✔-
exclusions for preexisting conditions
- rescission of insurance contracts to limit benefits
- lifetime or annual limits on benefits
What does the ACA promote? - correct answer ✔- lifetime limits and annual
limits prohibited
- preexisting conditions prohibited
- rescission of insurance policies prohibited
- retention of coverage until age 26
- guaranteed access to health insurance
- grandfathered plans
- minimum medical loss ratio
- limited waiting periods
who is the marketplace exchange limited to? - correct answer ✔US citizens
and legal residents who are not incarcerated
The ACA provides premium credits to make coverage more affordable -
correct answer ✔- premium tax credits and cost sharing subsidies are
available to eligible low-income individuals and families
