HSA 3111 Exam 1 UPDATED Exam
Questions and CORRECT Answers
What 3 things around WW2 brought insurance to the US - CORRECT
ANSWER 1.Women offered insurance to work
2.Leading cause for insurance in US Organized labor was given the right to negotiate (allowed to
strike)
3.Taxes. Provide insurance to employers then they would get a tax deductible
Who is a gatekeeper? - CORRECT ANSWER Primary Care
What does HIPAA do? - CORRECT ANSWER Protect
Telemedicine technology that allows a specialist located at a distance to directly interview and
examine a patient is referred to as: - CORRECT ANSWER Synchronous
(back and forth like live feed two-way)
Why is the US system a mess? - CORRECT ANSWER It is all about the 3rd party--
insurance and $$$
What is risk? - CORRECT ANSWER The possibility of a substantial financial loss from
some event
what is the #1 reason for bankruptcy in the US? - CORRECT ANSWER medical bills
Components of risk - CORRECT ANSWER unpredictable
key component to insurance
can be predicted with a reasonable degree
, Risk Averse - CORRECT ANSWER If everyone pays $200 to insurance then you can pay
the cost of getting sick. People are more risky when they have insurance
Pooling of losses - CORRECT ANSWER pool money together to pay for a risky persno
payment only for random losses (accident)
risk has to be transferred (to insurance company away from ourselves)
What happens when health insurance companies have people with pre existing conditions? -
CORRECT ANSWER Raise their premiums and rates
Why would you want to have cost sharing? What will it reduce? - CORRECT
ANSWER Reduces utilization
Managed care is trying to control what? And act as a what? - CORRECT
ANSWER control utilization
Act as a gatekeeper
ex. Join our HMO or PPO so you agree to go to doctors on our list and you pay if you dont go to
one approved by us
What drives payment structure? - CORRECT ANSWER coding
Hill-Burton Act - CORRECT ANSWER Gave us all these hospitals in the US. Need equal
access for everybody. Rural didnt have access as much as urban areas
Why are some rural hospitals suffering because of the ACA? - CORRECT
ANSWER More people that need to be covered
Insurance companies (third party providers) would be interested in controlling...? - CORRECT
ANSWER Utilization
Questions and CORRECT Answers
What 3 things around WW2 brought insurance to the US - CORRECT
ANSWER 1.Women offered insurance to work
2.Leading cause for insurance in US Organized labor was given the right to negotiate (allowed to
strike)
3.Taxes. Provide insurance to employers then they would get a tax deductible
Who is a gatekeeper? - CORRECT ANSWER Primary Care
What does HIPAA do? - CORRECT ANSWER Protect
Telemedicine technology that allows a specialist located at a distance to directly interview and
examine a patient is referred to as: - CORRECT ANSWER Synchronous
(back and forth like live feed two-way)
Why is the US system a mess? - CORRECT ANSWER It is all about the 3rd party--
insurance and $$$
What is risk? - CORRECT ANSWER The possibility of a substantial financial loss from
some event
what is the #1 reason for bankruptcy in the US? - CORRECT ANSWER medical bills
Components of risk - CORRECT ANSWER unpredictable
key component to insurance
can be predicted with a reasonable degree
, Risk Averse - CORRECT ANSWER If everyone pays $200 to insurance then you can pay
the cost of getting sick. People are more risky when they have insurance
Pooling of losses - CORRECT ANSWER pool money together to pay for a risky persno
payment only for random losses (accident)
risk has to be transferred (to insurance company away from ourselves)
What happens when health insurance companies have people with pre existing conditions? -
CORRECT ANSWER Raise their premiums and rates
Why would you want to have cost sharing? What will it reduce? - CORRECT
ANSWER Reduces utilization
Managed care is trying to control what? And act as a what? - CORRECT
ANSWER control utilization
Act as a gatekeeper
ex. Join our HMO or PPO so you agree to go to doctors on our list and you pay if you dont go to
one approved by us
What drives payment structure? - CORRECT ANSWER coding
Hill-Burton Act - CORRECT ANSWER Gave us all these hospitals in the US. Need equal
access for everybody. Rural didnt have access as much as urban areas
Why are some rural hospitals suffering because of the ACA? - CORRECT
ANSWER More people that need to be covered
Insurance companies (third party providers) would be interested in controlling...? - CORRECT
ANSWER Utilization
