48 Questions
Which factor contributes the least to premature death?
Medical Care
During the 1950s, where were health services primarily provided?
Patient's homes
What is the most prevalent mode of paying for health care?
Employment-Based Private Insurance
Which insurance plan covers hospital care and gives the choice of hospitals?
Blue Cross
Which insurance plan covers physician and other outpatient services?
Blue Shield
Which part of Medicare provides hospital insurance?
Medicare Part A
Which part of Medicare provides prescription drug coverage through private health plans?
Medicare Part D
Which group is more likely to be uninsured based on the information provided?
Unemployed individuals with low income
What is one of the reasons why the 'Employed Uninsured' group may not have health insurance?
They work for small firms that don't offer health insurance
Which form of financing for health insurance is regressive based on the information provided?
Financing that takes a falling percentage of income as income increases
What type of health insurance coverage requires a primary care physician (PCP) responsible for healthcare, referrals to specialists, and approving medical treatment?
HMO
Which type of health insurance coverage allows enrollees to self-refer to another physician and has a wide choice of providers and hospitals?
PPO
What type of health insurance coverage requires a PCP and combines fee-for-service and pre-paid insurance?
POS
What is the purpose of the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)?
To guarantee insurance at group insurance rates for 18 months
Which payment model combines elements of capitation and fee for service?
Risk Adjusted Capitation
Which payment model involves an established rate to cover a person's medical care for a specified time?
Capitation
Which payment model involves a bundled payment for a case or episode of illness?
Episode of Illness
Which payment model is based on estimating time, mental effort, judgement, skill, physical effort, and stress?
Medicare Resource Based Relative Value Scale
What is the financing source for Medicare Part A?
Social security taxes collected from employers and employees
Who is eligible for Medicare Part B?
Anyone
What is the financing source for Medicare Part C?
Federal Revenues
What is the financing source for Medicare Part D?
73% Federal Revenue
What is the financing source for Medicaid?
State and Federal taxes
What is the financing source for SCHIP?
State and Federal taxes
Which factor contributes the most to premature death?
Lifestyle and Behaviors
In the 1950s, where were health services primarily provided?
Patient's homes
What is the most prevalent mode of paying for health care?
Employment-Based Private Insurance
Which type of health insurance coverage allows enrollees to self-refer to another physician and has a wide choice of providers and hospitals?
Preferred Provider Organization (PPO)
Which part of Medicare provides prescription drug coverage through private health plans?
Medicare Part D
Which form of financing for health insurance is regressive based on the information provided?
Out of Pocket
Which group is more likely to be uninsured based on the information provided?
Unemployed Uninsured
What is one of the reasons why the 'Employed Uninsured' group may not have health insurance?
All of the above
Which payment model combines elements of capitation and fee-for-service?
IBRA
What type of health insurance coverage requires a primary care physician (PCP) responsible for healthcare, referrals to specialists, and approving medical treatment?
Health insurance with a PCP
Which part of Medicare provides prescription drug coverage through private health plans?
Part D
What is the purpose of the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)?
To provide continuation of health coverage after job loss
Which payment model attempts to correct for bias in physician payments and takes into consideration factors such as time, mental effort, judgement, and skill?
Medicare Resource Based Relative Value Scale
Which payment model involves an established rate to cover a person's medical care for a specified time, with adjustments made for financial risk?
Capitation
Which payment model involves a bundled payment for a case or episode of illness, with the provider being at risk if they pay more for the services provided than the total bundle amount?
Episode of Illness
Which payment model allows physicians to set the price and the insurance provider pays, but created a moral hazard due to the lack of cost-sharing?
Fee For Service
Which payment model involves an intermediary group that pays physicians a salary and bears the financial risk for diagnostic and specialty services?
Three Tiered Payment Model
Which payment model involves physicians being paid a salary based on time, and is most evident in the public sector?
Physician Payment by Time
What is the most popular type of health insurance coverage in the 1900s?
Indemnity
What type of health insurance coverage requires a PCP responsible for healthcare and making referrals to specialists?
HMO
What is the main advantage of Preferred Provider Organization (PPO) health insurance coverage?
Wide choice of providers and hospitals
What is the main disadvantage of Point of Service (POS) health insurance coverage?
Difficulty obtaining specialized care referrals
What is the purpose of the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)?
To provide insurance at group insurance rates for 18 months for people who lose insurance
What model of health care emphasizes the well-being of all aspects of a person's life, including the spiritual dimension?
Holistic Model
Quiz: Understanding the Challenges of Being Employed or Unemployed Without Health Insurance
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