Deck 8: Medicare and Medicaid

Question 1

To qualify for Medicare Part A, beneficiaries have to pay Social Security taxes for how many quarter years?

A) 40
B) 50
C) 60
D) 20

Answer 1

40

Question 2

Who or what is the primary payer for long-term care (LTC) services?

A) Medicare
B) Private insurers
C) Medicaid
D) None of the above

Answer 2

Medicaid

Question 3

Which Medicare part consists of Medicare Advantage plans?

A) Part A
B) Part B
C) Part C
D) Part D
Completion
Complete each statement.

Answer 3

Part C

Question 4

Who funds Medicaid?

A) State governments
B) Jointly funded by state and federal governments
C) Federal government
D) Local government

Question 5

With the exception of psychiatric care, Medicare Part B covers how many days of inpatient hospital care?

A) Up to 150 days
B) Up to 120 days
C) Up to 90 days
D) Up to 190 days

Question 6

Which Medicare part provides outpatient prescription drug benefits?

A) Part A
B) Part B
C) Part C
D) Part D

Question 7

Medicare insurance covers how many days for care provided in a skilled nursing facility (SNF)?

A) Up to 150 days
B) Up to 100 days
C) Up to 90 days
D) Up to 190 days

Question 8

The overriding goal of Medicare was to ensure access to __for the elderly over the age of 65.

Question 9

Which Medicare part is the hospital insurance program that covers inpatient hospital, skilled nursing facility, hospice, and home health care?

A) Part A
B) Part B
C) Part C
D) Part D

Question 10

When are Medicare outlays expected to exceed revenues?

A) 2025
B) 2019
C) 2030
D) 2015

Question 11

Which Medicare part is supplementary medical insurance that covers physician and outpatient hospital care, lab tests, medical supplies, and home health?

A) Part A
B) Part B
C) Part C
D) Part D

Question 12

How many of the 10 standard Medigap policies offer prescription drug coverage?

A) 5
B) 3
C) 10
D) 6

Question 13

Why does enrollment in Medicaid typically increase during times of economic downturn?

A) People who lose their jobs often lose their employer-sponsored health insurance.
B) People run out of unemployment insurance and turn to Medicaid.
C) People are unwilling to pay the higher premiums of private insurance when the economy is uncertain.
D) People postpone elective, noncritical medical care.

Question 14

Who are the primary beneficiaries of Medicaid coverage?

A) Poor parents with children
B) The disabled
C) Elderly who are eligible for SSI
D) All of the above

Question 15

Medicare pays for how many days of hospice care?

A) Up to 90 days
B) Up to 210 days
C) Up to 150 days
D) There is no limit.

Question 16

How many Medicare enrollees purchase some form of supplemental insurance?

A) One-fourth
B) One-third
C) One half
D) Two-thirds

Question 17

Medicare pays the entire bill for covered services as long as the services are medically reasonable and necessary in what type of care setting?

A) Home health care
B) SNF
C) Hospital inpatient
D) None of the above

Question 18

Who or what is the second-highest payer for long-term care (LTC) services?

A) Medicare
B) Private insurers
C) Medicaid
D) None of the above

Question 19

Medicare Part A pays for how many days of inpatient hospital care in a benefit period?

A) Up to 30 days
B) Up to 120 days
C) Up to 90 days
D) Up to 60 days

Question 20

Medicare is the nation's largest __program - beneficiaries number more than 40 million Americans.

Question 21

Match the term with the definition or description:
President Johnson's plan to provide health care coverage for the elderly

A)point-of-service organizations (PSOs)
B)Baby boomers
C)preferred provider plans (PPOs)
D)resource-based relative value scale (RBRVS)
E)"donut hole"
F)Great Society
G)Supplemental Security Income (SSI)
H)medical savings account (MSA)

Question 22

Match the term with the definition or description:
Enrollees obtain services from a network of health care providers established by a plan.

A)point-of-service organizations (PSOs)
B)Baby boomers
C)preferred provider plans (PPOs)
D)resource-based relative value scale (RBRVS)
E)"donut hole"
F)Great Society
G)Supplemental Security Income (SSI)
H)medical savings account (MSA)

Question 23

Beginning in 1983 to the present, Medicare reimburses hospitals based on a __payment system.

Question 24

Match the term with the definition or description:
Government-provided money to low-income people who are either aged (65 or older), blind, or disabled

A)point-of-service organizations (PSOs)
B)Baby boomers
C)preferred provider plans (PPOs)
D)resource-based relative value scale (RBRVS)
E)"donut hole"
F)Great Society
G)Supplemental Security Income (SSI)
H)medical savings account (MSA)

Question 25

Patients can elect to receive __care rather than regular Medicare benefits if they are terminally ill.

Question 26

Match the term with the definition or description:
Included in the Medicare legislative package to make the overall benefit more affordable, or cost fewer tax dollars to fund

A)point-of-service organizations (PSOs)
B)Baby boomers
C)preferred provider plans (PPOs)
D)resource-based relative value scale (RBRVS)
E)"donut hole"
F)Great Society
G)Supplemental Security Income (SSI)
H)medical savings account (MSA)

Question 27

For Medicare beneficiaries to be eligible to enroll in a managed care plan, they must have Medicare and continue paying premiums.

Question 28

Match the organization with the appropriate description:
A division of the Department of Health and Human Services

A)American Medical Association (AMA)
B)Center for Medicare and Medicaid Services (CMMS)
C)Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

Question 29

Medicare is a social insurance program or a(n) __program; it is not a welfare program.

Question 30

Medicare added __(SNF), home health, and hospice coverage because they are less expensive than inpatient hospitalization.

Question 31

Medicaid is a __program, not an entitlement program.

Question 32

__enrollees can contract with other types of private health plans such as preferred provider plans (PPOs), point-of-service organizations (PSOs), and medical savings accounts (MSAs).

Question 33

Match the organization with the appropriate description:
A private accrediting organization

A)American Medical Association (AMA)
B)Center for Medicare and Medicaid Services (CMMS)
C)Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

Question 34

Medicare has no stop __coverage.

Question 35

Match the legislation with the appropriate description:
Part of Roosevelt's "New Deal" social program

A)Balanced Budget Act of 1997
B)Children's Health Insurance Reauthorization Act of 2009 (CHIPRA)
C)Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003
D)Omnibus Budget Reconciliation Act (OBRA) of 1989
E)Social Security Act of 1935
F)State Children's Health Insurance Plan (SCHIP)
G)Temporary Aid for Needy Families (TANF)

Question 36

Match the term with the definition or description:
Those born between 1946 and 1964

A)point-of-service organizations (PSOs)
B)Baby boomers
C)preferred provider plans (PPOs)
D)resource-based relative value scale (RBRVS)
E)"donut hole"
F)Great Society
G)Supplemental Security Income (SSI)
H)medical savings account (MSA)

Question 37

Match the organization with the appropriate description:
Opposed Medicare, comparing it with socialized medicine

A)American Medical Association (AMA)
B)Center for Medicare and Medicaid Services (CMMS)
C)Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

Question 38

Match the term with the definition or description:
Medicare pays the monthly premium for this plan and makes a deposit into a tax-free account on behalf of the beneficiary

A)point-of-service organizations (PSOs)
B)Baby boomers
C)preferred provider plans (PPOs)
D)resource-based relative value scale (RBRVS)
E)"donut hole"
F)Great Society
G)Supplemental Security Income (SSI)
H)medical savings account (MSA)

Question 39

Match the term with the definition or description:
A group of doctors establishes them and hospitals assume the financial risk of providing comprehensive services to Medicare enrollees

A)point-of-service organizations (PSOs)
B)Baby boomers
C)preferred provider plans (PPOs)
D)resource-based relative value scale (RBRVS)
E)"donut hole"
F)Great Society
G)Supplemental Security Income (SSI)
H)medical savings account (MSA)

Question 40

Match the term with the definition or description:
An attempt to contain costs by instituting the same pay for the same services

A)point-of-service organizations (PSOs)
B)Baby boomers
C)preferred provider plans (PPOs)
D)resource-based relative value scale (RBRVS)
E)"donut hole"
F)Great Society
G)Supplemental Security Income (SSI)
H)medical savings account (MSA)

Question 41

Match the president with his contribution:
Supported and signed the Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003

A)President George W. Bush
B)President Harry S. Truman
C)President John F. Kennedy
D)President Lyndon B. Johnson

Question 42

Match the president with his contribution:
Proposed a comprehensive, prepaid medical insurance plan for all people through the Social Security system referred to as National Health Insurance

A)President George W. Bush
B)President Harry S. Truman
C)President John F. Kennedy
D)President Lyndon B. Johnson

Question 43

Match the legislation with the appropriate description:
Provides funds to states for health insurance to families with children

A)Balanced Budget Act of 1997
B)Children's Health Insurance Reauthorization Act of 2009 (CHIPRA)
C)Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003
D)Omnibus Budget Reconciliation Act (OBRA) of 1989
E)Social Security Act of 1935
F)State Children's Health Insurance Plan (SCHIP)
G)Temporary Aid for Needy Families (TANF)

Question 44

Match the legislation with the appropriate description:
To reduce Medicare spending, it reduced payments to health service providers

A)Balanced Budget Act of 1997
B)Children's Health Insurance Reauthorization Act of 2009 (CHIPRA)
C)Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003
D)Omnibus Budget Reconciliation Act (OBRA) of 1989
E)Social Security Act of 1935
F)State Children's Health Insurance Plan (SCHIP)
G)Temporary Aid for Needy Families (TANF)

Question 45

Match the president with his contribution:
Signed into law the 18th Amendment to the Social Security Act of 1935

A)President George W. Bush
B)President Harry S. Truman
C)President John F. Kennedy
D)President Lyndon B. Johnson

Question 46

Match the legislation with the appropriate description:
Established a new method of Medicare physician reimbursement effective in 1992

A)Balanced Budget Act of 1997
B)Children's Health Insurance Reauthorization Act of 2009 (CHIPRA)
C)Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003
D)Omnibus Budget Reconciliation Act (OBRA) of 1989
E)Social Security Act of 1935
F)State Children's Health Insurance Plan (SCHIP)
G)Temporary Aid for Needy Families (TANF)

Question 47

Match the president with his contribution:
Delivered a message to Congress calling for health insurance for the elderly

A)President George W. Bush
B)President Harry S. Truman
C)President John F. Kennedy
D)President Lyndon B. Johnson

Question 48

Match the legislation with the appropriate description:
Extended and expanded the SCHIP

A)Balanced Budget Act of 1997
B)Children's Health Insurance Reauthorization Act of 2009 (CHIPRA)
C)Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003
D)Omnibus Budget Reconciliation Act (OBRA) of 1989
E)Social Security Act of 1935
F)State Children's Health Insurance Plan (SCHIP)
G)Temporary Aid for Needy Families (TANF)

Question 49

Match the legislation with the appropriate description:
Made the most sweeping changes to Medicare since its inception by affording Medicare beneficiaries a prescription drug benefit

A)Balanced Budget Act of 1997
B)Children's Health Insurance Reauthorization Act of 2009 (CHIPRA)
C)Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003
D)Omnibus Budget Reconciliation Act (OBRA) of 1989
E)Social Security Act of 1935
F)State Children's Health Insurance Plan (SCHIP)
G)Temporary Aid for Needy Families (TANF)

Question 50

Match the legislation with the appropriate description:
Separated the provision of cash assistance from the provision of Medicaid coverage

A)Balanced Budget Act of 1997
B)Children's Health Insurance Reauthorization Act of 2009 (CHIPRA)
C)Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003
D)Omnibus Budget Reconciliation Act (OBRA) of 1989
E)Social Security Act of 1935
F)State Children's Health Insurance Plan (SCHIP)
G)Temporary Aid for Needy Families (TANF)