Deck 10: Government As Health Insurer

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Question
Though eligibility varies from state to state, _______ is a public insurance program intended to cover low-income individuals, children, and pregnant women.

A) Medicare
B) Medicaid
C) charitable care
D) Blue Cross
E) Blue Shield
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Question
Increasing access to medical care for low income individuals and households through the expansion of Medicaid eligibility requirements could decrease the quality of medical care received by current Medicaid beneficiaries.
Question
Medicare _______ covers hospital inpatient services, while _______ covers prescription drug benefits.

A) Part A; Part B
B) Part B; Part D
C) Part B; Part A
D) Part C; Part B
E) Part A; Part D
Question
The Resource-Based Relative Value Scale System might cause an oversupply of certain medical services if the fee is set too high.
Question
_______ is the principal catalyst for the provision of government intervention in the market for health insurance.

A) Uncertainty
B) Population growth
C) Disease prevalence
D) Imperfect information
E) Health expenditure growth
Question
"Crowding out" due to an expansion of Medicaid requirements is best described by which of the following?

A) A family chooses to remain covered under employer-sponsored private health insurance.
B) An uninsured family chooses to enroll in Medicaid due to a low household income.
C) A family newly eligible withdraws from an employer-sponsored private health insurance and enrolls in Medicaid.
D) both b and c
E) none of the above
Question
Doughnut hole benefits refers to the system of coverage under _______.

A) Medicare Part A
B) Medicaid
C) Medicare Part C
D) Medicare Part D
E) Medicare Part B
Question
_______ Medicaid reimbursement rates will _______ the opportunity cost of treating privately insured patients.

A) Decreasing; increase
B) Increasing; not affect
C) Increasing; decrease
D) Decreasing; decrease
E) Decreasing; not affect
Question
The Diagnosis-Related Groups System is a prospective payment system used by Medicare to reimburse physicians for medical care.
Question
At the age of 65, individuals are automatically enrolled in Medicare Part B.
Question
The majority of financing for Medicaid programs comes from _______.

A) the federal government
B) state governments
C) individual premiums
D) charitable care
E) none of the above
Question
Which of the following is a key difference between Medicare and Medicaid?

A) eligibility requirements
B) financing methods
C) reimbursement methods
D) benefits offered
E) all of the above
Question
Medicare Part A is financed primarily through _______.

A) individual premiums
B) state governments
C) sales tax revenue
D) charitable care
E) payroll taxes
Question
If a physician is currently operating at full capacity, an increase in Medicare reimbursement rates could lead to decline in access for privately insured patients.
Question
_______ is a prospective payment system used by Medicare to reimburse hospitals for the provision of medical care.

A) Resource-Based Relative Value Scale System
B) Fee-for-service
C) Diagnosis-Related Groups System
D) Doughnut Hole System
E) Capitation Payment System
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Deck 10: Government As Health Insurer
1
Though eligibility varies from state to state, _______ is a public insurance program intended to cover low-income individuals, children, and pregnant women.

A) Medicare
B) Medicaid
C) charitable care
D) Blue Cross
E) Blue Shield
B
2
Increasing access to medical care for low income individuals and households through the expansion of Medicaid eligibility requirements could decrease the quality of medical care received by current Medicaid beneficiaries.
True
3
Medicare _______ covers hospital inpatient services, while _______ covers prescription drug benefits.

A) Part A; Part B
B) Part B; Part D
C) Part B; Part A
D) Part C; Part B
E) Part A; Part D
E
4
The Resource-Based Relative Value Scale System might cause an oversupply of certain medical services if the fee is set too high.
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5
_______ is the principal catalyst for the provision of government intervention in the market for health insurance.

A) Uncertainty
B) Population growth
C) Disease prevalence
D) Imperfect information
E) Health expenditure growth
Unlock Deck
Unlock for access to all 15 flashcards in this deck.
Unlock Deck
k this deck
6
"Crowding out" due to an expansion of Medicaid requirements is best described by which of the following?

A) A family chooses to remain covered under employer-sponsored private health insurance.
B) An uninsured family chooses to enroll in Medicaid due to a low household income.
C) A family newly eligible withdraws from an employer-sponsored private health insurance and enrolls in Medicaid.
D) both b and c
E) none of the above
Unlock Deck
Unlock for access to all 15 flashcards in this deck.
Unlock Deck
k this deck
7
Doughnut hole benefits refers to the system of coverage under _______.

A) Medicare Part A
B) Medicaid
C) Medicare Part C
D) Medicare Part D
E) Medicare Part B
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8
_______ Medicaid reimbursement rates will _______ the opportunity cost of treating privately insured patients.

A) Decreasing; increase
B) Increasing; not affect
C) Increasing; decrease
D) Decreasing; decrease
E) Decreasing; not affect
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k this deck
9
The Diagnosis-Related Groups System is a prospective payment system used by Medicare to reimburse physicians for medical care.
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10
At the age of 65, individuals are automatically enrolled in Medicare Part B.
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11
The majority of financing for Medicaid programs comes from _______.

A) the federal government
B) state governments
C) individual premiums
D) charitable care
E) none of the above
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Unlock for access to all 15 flashcards in this deck.
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12
Which of the following is a key difference between Medicare and Medicaid?

A) eligibility requirements
B) financing methods
C) reimbursement methods
D) benefits offered
E) all of the above
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13
Medicare Part A is financed primarily through _______.

A) individual premiums
B) state governments
C) sales tax revenue
D) charitable care
E) payroll taxes
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14
If a physician is currently operating at full capacity, an increase in Medicare reimbursement rates could lead to decline in access for privately insured patients.
Unlock Deck
Unlock for access to all 15 flashcards in this deck.
Unlock Deck
k this deck
15
_______ is a prospective payment system used by Medicare to reimburse hospitals for the provision of medical care.

A) Resource-Based Relative Value Scale System
B) Fee-for-service
C) Diagnosis-Related Groups System
D) Doughnut Hole System
E) Capitation Payment System
Unlock Deck
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Unlock Deck
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Unlock Deck
Unlock for access to all 15 flashcards in this deck.