Deck 15: Public Health Insurance

Question 1

The objective of Medicare's Pathway to Success Program is to

A) Increase savings for the Trust Fund and mitigate losses
B) Increase gaming opportunities
C) Promote more rigid regulatory requirements
D) Restrict free market principles

Answer 1

A

Question 2

Medicare Advantage plans are paid a capitated amount to provide

A) All Part A, B, and D benefits
B) All Part A and D benefits
C) All Part A and B benefits
D) All Part B and D benefits

Answer 2

C

Question 3

The source of Medicare funding paying the largest amount is

A) Premium revenue
B) General revenue
C) Payroll tax revenue
D) Taxation on Social Security benefits

Answer 3

B

Question 4

The federal government defines minimum requirements that states must meet with Medicaid, but the states have broad authority to establish

A) Eligibility criteria
B) Benefits covered
C) Provider payments
D) Delivery systems
E) All of the above

Question 5

In Medicare, the goal referring to the burden of payments on specific groups is:

A) Affordability
B) Equity
C) Adequacy
D) Feasibility

Question 6

Medicare is a national health insurance program for a subset of the U.S. population.

Question 7

Part B of original Medicare covers inpatient hospital services, limited skilled nursing facility services, home health care, and hospice services.

Question 8

The Medicare Advantage program is funded separately by premiums from enrollees .

Question 9

Medicaid is a state public health insurance program.

Question 10

Medicaid is an entitlement program, so that once a state has established the eligibility criteria for its Medicaid program, then all individuals in the state meeting the criteria have a federal right to Medicaid coverage.

Question 11

The inpatient hospital stays under Medicare are paid a prospectively set rate according to the resource-based relative value scale.

Question 12

The lower a state's per capita income, the lower the rate (the federal match rate-FMAP) paid by the federal government

Question 13

What are the major sources of funding for Medicaid?

Question 14

What are the key characteristics of persons without health insurance in the United States?

Question 15

List six basic types of policy alternatives for Medicare.