Deck 5: What Are the Governmental Alternatives

Question 1

Price transparency is critical to:

A) the setting of copays.
B) the setting of deductibles.
C) consumer-driven care.
D) health information technology.

Answer 1

C

Question 2

A shared responsibility payment under the ACA is:

A) a state's share of Medicaid costs.
B) the employee's contribution to the premium for employer-sponsored health care.
C) an addition to state sales taxes for premiums covered by the ACA.
D) the tax penalty for not purchasing specified types of health insurance.

Answer 2

D

Question 3

The United States uses which of the following to fund Medicare?

A) Payroll taxes
B) Excise taxes
C) Use taxes
D) Tax penalties

Answer 3

A

Question 4

States trying to establish universal coverage have had trouble:

A) with free riders.
B) with no work requirements.
C) paying for it.
D) getting it through federal insurance regulators.

Question 5

Minimum essential care under the ACA includes:

A) dental care.
B) vision care.
C) coverage traveling outside the United States.
D) maternity care.

Question 6

The ACA curtailed the ability of insurers to:

A) exclude pre-existing conditions.
B) offer quality incentives.
C) treat men and women equally.
D) withdraw from markets.

Question 7

The many proposed subsidies for payment of premiums (premium support):

A) all go directly to the provider.
B) all go directly to the insurer.
C) include vouchers.
D) are all visible to the public.

Question 8

Insurers design their networks to:

A) avoid clawbacks.
B) assure adequate geographic coverage.
C) avoid underwriting risks.
D) share the risk with local governments.

Question 9

The patient satisfaction information currently collected is:

A) not released to protect competitive advantage.
B) not very specific.
C) not very relevant because patients cannot pick and choose providers.
D) readily available at the individual provider level.

Question 10

People who are eligible for both Medicare and Medicaid:

A) comprise about 2% and 3% of the recipients for these programs, respectively.
B) are called "dual eligibles."
C) are usually young people.
D) are restricted from receiving other government benefits.

Question 11

A healthy 25-year-old male whose employer has health benefits would be an ideal candidate for which of the following?

A) A medical savings account and an insurance plan with high deductibles
B) A point-of-service plan with additional products like dental and vision plans
C) A Cadillac health plan with no deductibles
D) Going without health insurance

Question 12

Congress has been reluctant to endorse competitive bidding because:

A) quality comparisons are hard to prove.
B) it can restrict choice.
C) of lobbying by vendor organizations.
D) all of the above.

Question 13

Berwick and Hackbarth suggested six categories of waste that accounted for what percentage of health care costs?

A) Less than 10%
B) Less than 20%
C) Close to 35%
D) 40% or more

Question 14

One feature of a capitation compensation plan is that it:

A) cannot cover aftercare.
B) increases the provider's risk.
C) reduces the provider's risk.
D) focuses on quality metrics.

Question 15

The ACOs and HMOs successful in controlling costs are:

A) seldom nonprofit.
B) well-funded.
C) focused on increasing the population served.
D) focused on maximizing revenue.

Question 16

The "deemer clause" of ERISA:

A) gives the federal government control over self-insured health plans.
B) gives state governments control over self-insured health plans.
C) gives insurance commissioners control over self-insured health plans.
D) gives employers control over self-insured health plans.

Question 17

"Any-willing provider" legislation:

A) protects minority providers.
B) assures payment for services for the disabled.
C) allows providers to charge what the market will bear.
D) bans restrictions on whom an insured can see.

Question 18

A study found that between 2010 and 2016, concentration had increased most among:

A) hospitals.
B) specialists.
C) primary care practices.
D) insurers.

Question 19

Which of the following does not appear to be a major value related to the policy issue of malpractice reform?

A) The value of a human life
B) Jury or judge shopping
C) Impact on inappropriate provider behavior
D) Allocation between the provider and the provider's employer

Question 20

Which description below would be likely to fit a television campaign to encourage parents to vaccinate their children?

A) Education
B) Direct-to-consumer advertising
C) Public relations
D) Lobbying

Question 21

Government funded programs focus first on continuity of care.

Question 22

The United States not only spends more per capita on health care than any other developed country, it also spends more public money per capita on health care than the total expenditure of most of those countries.

Question 23

The United States was unique among developed countries when it mandated that individuals purchase health insurance plans meeting specific coverage standards.

Question 24

Retrospective reinsurance involves "invisible" risk pools.

Question 25

Some believe that the high cost of care is because employers pays the premiums and insurers pay the bills.

Question 26

Rationing does not seem to exist in the U.S. health system.

Question 27

The FDA approves treatments based on safety, efficacy, and degree of improvement.

Question 28

Insurers are of two minds about copays for preventive services.

Question 29

Making health care a regulated public utility would be a relative simple matter.

Question 30

Some experts argue that antitrust measures can be effective only when coupled with other regulatory measures, such as price controls.