Deck 2: How We Got Here: US Health Policy History

Question 1

The history of U.S. health policy has its beginnings with:

A) Federal medical licensing laws
B) State medical licensing laws
C) Federal hospital licensing laws
D) State hospital licensing laws

Answer 1

B

Question 2

The first healthcare legislation at the federal level and be signed into law by the President was:

A) The Bill for the Benefit of the Indigent Insane
B) The Sickness Insurance Law
C) The Accident Insurance Law
D) The Sheppard-Towner Act
E) None of the above

Answer 2

D

Question 3

Sickness funds:

A) Established in 1950, were the first organized health plan, and cost 50¢ per month.
B) Established in 1860 to 1920, were the first organized health plan, and cost 50¢ per month.
C) Established in 1860 to 1920, were disability insurance, and cost 50¢ per month.
D) Established in 1950, were designed for physician payment, and cost 50¢ per month.
E) All of the above

Answer 3

C

Question 4

The events culminating in the employee tax exemption for medical insurance include:

A) Post WWI wage and price freeze, 1929 Supreme Court decision to allow benefits as part of labor negotiations, and 1934 tax code change providing for employer tax exemption of medical insurance.
B) Post Korean conflict wage and price freeze, 1959 Supreme Court decision to allow benefits as part of labor negotiations, and 1964 tax code change providing for employer tax exemption of medical insurance.
C) Post WWII wage and price freeze, 1949 Supreme Court decision to allow benefits as part of labor negotiations, and 1954 tax code change providing for employer tax exemption of medical insurance.
D) Post-Vietnam conflict wage and price freeze, 1969 Supreme Court decision to allow benefits as part of labor negotiations, and 1974 tax code change providing for employer tax exemption of medical insurance.

Question 5

Major federal healthcare legislation since 1900 addressing access to healthcare services includes:

A) Medicare, Medicaid, and the Patient Protection and Affordable Care Act
B) Medicare, Medicaid, and the Prospective Payment legislation.
C) Medicare, Medicaid, and the Health Security Plan
D) Medicare, Medicaid, and ERISA

Question 6

Major healthcare legislation since 1900 addressing cost of healthcare services includes:

A) The HMO Act, the Prospective Payment legislation, and HIPAA
B) The Prospective Payment legislation, the Patient Protection and Affordable Care Act, and ERISA
C) The Patient Protection and Affordable Care Act, ERISA, and HITECH
D) The Prospective Payment legislation, ERISA, and HITECH

Question 7

Major provisions of the Patient Protection and Affordable Care Act include:

A) HITECH, dependent coverage up to age 26 years, health insurance exchanges, accountable care organizations
B) Dependent coverage up to age 26 years, health insurance exchange, ten health plan requirements, and a set of actuarial values for consumers to choose from
C) Dependent coverage up to age 26 years, health insurance exchange, HITECH, and HIPAA
D) Dependent coverage up to age 26 years, health insurance exchange, expansion of Medicare, and HITECH

Question 8

Federal government physician payment models have included:

A) Physician fee schedule, RBRVS, COBRA, & ERISA
B) Physician fee schedule, Medicare Volume Performance Standard, Sustainable Growth Rate, & MACRA
C) SGR, MVP, ACO, & COBRA
D) Physician fee schedule, SGR, ERISA, & MACRA

Question 9

Major health legislation passed by Congress since 2010 includes

A) The American Health Care Act
B) The Health Care Freedom Act
C) Repealing the tax penalty for not possessing health insurance
D) 21st Century Cures Act
E) c and d

Question 10

The 21st Century Cures Act addresses which of the following:

A) Research funding, leadership, and reporting requirements
B) Mental health programs, payment, and access
C) Gerontological health programs, payment, and access
D) Medicare and Medicaid access, continuation of services, and payment

Question 11

Common forms of governance include:

A) Unitary
B) Confederation
C) Feudalism
D) Federalism

Question 12

Original Medicare Part B payment was based on usual, customary, and reasonable charges.

Question 13

By the mid-1990s, Medicare Part B payments had become the largest domestic program funded through general revenues.

Question 14

In 1787, the U.S. Congress approved a Constitutional Convention to address the weakness of the Articles of Confederation by development of a new Constitution.

Question 15

While the Constitution and Bill of Rights balances federal and state responsibilities, there is a level of ambiguity to these responsibilities that allows this balance to adapt to different times and situations.

Question 16

Discuss how the eras of federalism link to the development and passage of healthcare legislation.

Question 17

Discuss how health policy has evolved in the United States.

Question 18

Discuss the evolution of physician payment by the federal government.