Questions and Answers
Financial protection against loss or harm typically is referred to as:
Insurance
Health insurance narrows down 'undesired events' to:
illness and injuries
Keeping a person well or catching and treating an emerging illness in its early stages is referred to as:
Preventive medicine
The beginning of modern health insurance occurred in 1850 in:
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Health insurance was 'born' in the United States in 1972 with a plan that later became known as:
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Blue Cross and Blue Shield plans traditionally established premiums wherein everybody in the community paid the same premium, called:
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A profound change in form from one stage to the next in the life history of an organism is referred to scientifically as:
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HMOs were first recognized in the United States in the:
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A type of insurance that provides comprehensive major medical benefits and allows insured individual(s) to choose any provider when seeking medical care is called:
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Many individuals employed full-time (or for a specific number of hours per week) are eligible for:
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When certain illnesses or injuries exist before the effective date of an insurance policy and are not covered by the policy, these conditions are commonly referred to as:
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If an insurance company thinks an applicant presents too much of a risk, he or she will be put into a category referred to as a:
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To get around the problem of individuals with preexisting conditions being afraid to change jobs for fear of losing healthcare coverage, Congress introduced:
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Experts believe that increasing healthcare costs are due to:
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Any health plan that attempts to control or coordinate the use of healthcare to obtain expenditures, improve quality, or both falls under the category of:
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Two new healthcare laws enacted in 2010 that represent significant changes in America's healthcare industry are (choose two):
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The three major changes that the laws listed in question 16 brought about include all except:
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The estimated number of Americans who were without healthcare coverage in 2010 was:
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The program that provides insurance for qualifying children who are eligible for Medicaid but cannot afford private insurance is called:
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The two new types of healthcare plans that are 'on the horizon' are:
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Medical insurance and health insurance are interchangeable terms.
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Medical insurance narrows down the 'undesirable events' to illnesses and injuries.
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Health insurance in the United States began shortly after the turn of the nineteenth century when physicians agreed to provide certain services to Texans for a very nominal fee.
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Politics has never played a role in the growth and change of health insurance.
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There are a dozen major sources from which people can gain access to health insurance.
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People in the middle of the wage spectrum are often the ones who have the most difficult time acquiring health insurance.
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Advances in medical technology have tended to keep healthcare costs down.
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People buy health insurance to protect themselves from financial loss or ruin.
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COBRA and HIPAA were enacted by Congress in the same year - 1996.
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Study Notes
Health Insurance Overview
- Insurance provides financial protection against loss or harm.
- Health insurance specifically covers "undesired events" such as illness and injuries.
Preventive Medicine
- Focuses on keeping individuals well and addressing illnesses early on.
Historical Background
- Modern health insurance began in England in 1850.
- The first health insurance plan in the U.S. was Blue Cross, established in 1972.
Insurance Models
- Community rating involves everyone in a community paying the same premium.
- Fee-for-service, also known as indemnity insurance, allows insured individuals to select any healthcare provider for major medical benefits.
- Group insurance plans are typically available to full-time employees.
Preexisting Conditions and Risk Assessment
- Conditions present before the policy starts are termed preexisting conditions and may not be covered.
- High-risk pools are designated for applicants deemed too risky by insurance companies.
Legislative Measures
- HIPAA addresses concerns over losing healthcare coverage due to job changes for those with preexisting conditions.
- Significant healthcare laws passed in 2010 include the Health Care and Education Reconciliation Act and the Patient Protection and Affordable Care Act.
Healthcare Cost Factors
- Rising healthcare costs are attributed to demographics like the "graying of America," advancements in medical technology, and increased demand for healthcare services.
Managed Healthcare
- Managed healthcare refers to plans that control or coordinate healthcare usage to manage costs and improve quality.
Coverage Statistics
- In 2010, an estimated 50 million Americans lacked healthcare coverage.
- CHIP (Children's Health Insurance Program) insures qualifying children who can't afford private insurance.
Emerging Trends
- Future healthcare plans may include Health Insurance Exchanges and Accountable Care Organizations.
True/False Statements
- Medical insurance and health insurance are considered interchangeable terms.
- Medical insurance specifically covers illnesses and injuries.
- Health insurance in the U.S. did not begin in the early 1900s with nominal fee agreements among physicians.
- Political factors influence the growth and evolution of health insurance.
- Access to health insurance includes numerous significant sources.
- Middle-income individuals often struggle to acquire health insurance.
- Technological advancements do not typically lower healthcare costs.
- Individuals purchase health insurance to protect against financial loss.
- COBRA and HIPAA were both enacted in 1996.
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Description
Test your knowledge with flashcards on the basics of health insurance as covered in Chapter 1. This quiz explores key definitions and concepts, including the purpose of health insurance and the principles of preventive medicine.
