CEBS GBA 2 Practice Exam Questions
1. According to the RAND Health Insurance Experiment, which
variable has the greatest power in explaining health expenditures?
A.)Welfare eligibility
B.)Prior utilization
C.)Physical health (based on self-reported measures)
D.)General health (based on self-reported measures)
E.)Mental health (based on self-reported measures): B.) Prior utilization
2. A provision in some group life insurance plans that provides for
the payment of all or part of the death benefit in the event of the
insured's terminal illness is called:
A.)Accelerated death benefits
B.)Waiver of premiums
C.)Maturity value benefits
D.)Continuation-of-protection
E.)Assignment: A.) Accelerated death benefits
3. What reasons are given for the Silver plan being a popular choice
among all the Affordable Care Act (ACA) health plans?
A.)The Silver plan has the greatest actuarial value of all the plans.
B.)Cost-sharing subsidies to lower out-of-pocket costs are
available only to people who select the Silver plan.
C.)The Silver plan has the greatest benefits, even more than the
Gold and Platinum plans.
D.)The Silver plan has the lowest out-of-pocket costs of any plan
even before any subsidies.
E.) Many people select the Silver plan because they are not eligible
for the Gold or Platinum plans.: B.) Cost-sharing subsidies to lower out-of-pocket costs are
available only to people who select the Silver plan.
4. Which of the following measures of cost is generally used by
,analysts when they are examining the impact of insurance premiums
on employees' choice of
health insurance plans?
A.)The loading percentage
B.)The total gross premium
C.)The insurer's profit
D.)The employee's out-of-pocket price
E.)The expected future gross premium: D.) The employee's out-of-pocket price
5. Which of the following statements regarding recognition as a
patient-cen- tered medical home (PCMH) is correct?
A.)The only organization that can officially recognize a PCMH is the
Federally Qualified Health Center Demonstration.
B.)The only organization that can officially recognize a PCMH is the
National Committee for Quality Assurance (NCQA).
C.)No single organization is responsible for recognizing PCMHs.
D.)The main organization that recognizes PCMHs is the Joint
Commission and the Accreditation Commission for Health Care.
E.)A PCMH can be recognized only by the state in which it is
domiciled.: C.) No single organization is responsible for recognizing PCMHs.
6. Which of the following statements regarding private health
insurance ex- changes and Small Business Health Options
Program (SHOP) exchanges is correct?
A.)A lot of evidence has been produced to show that private
exchanges have been designed to make it easier for small
business to self-insure.
B.)The income tax incentives previously provided to small
employers in the SHOP program have expired.
C.)Recently states were given the option of making SHOP exchanges
manda- tory for all employers with fewer than 200 employees.
D.)Private exchanges could affect SHOP exchanges by siphoning
,enroll- ment from them and thereby reducing revenue (administrative
fees) critical to SHOPs' financial viability.
, E.)Unlike private exchanges, SHOP exchanges do not have the ability
to offer small employers a number of plan choices.: D.) Private exchanges could
attect SHOP exchanges by siphoning enrollment from them and thereby reducing revenue
(administrative fees) critical to SHOPs' financial viability.
7. What is the waiting period for Social Security Disability Income
(SSDI) bene- fits?
A.)One month
B.)Three consecutive months
C.)Five consecutive months
D.)Six consecutive months
E.)Twelve consecutive months: C.) Five consecutive months
8. "Desktop medicine" is a fully integrated approach using
information technol- ogy whose primary goal is to:
A.)Recruit prospective health plan subscribers
B.)Help track patients through their plan of care
C.)Encourage patient self-diagnosis using the Internet
D.)Gather health status metrics for large patient populations
E.)Expedite health provider use of technology: B.) Help track patients through
their plan of care
9. Until now, the biggest source of cost savings with private health
insurance exchanges has been:
A.)Transition to the defined contribution approach
B.)Increased use of technology
C.)Employees choosing less generous plans
D.)Better health education of employees
E.)Elimination or reduction in administrative waste: C.) Employees choosing
less generous plans
10. Out-of-network health care accounts for approximately what
percentage of total covered health insurance expenses?
1. According to the RAND Health Insurance Experiment, which
variable has the greatest power in explaining health expenditures?
A.)Welfare eligibility
B.)Prior utilization
C.)Physical health (based on self-reported measures)
D.)General health (based on self-reported measures)
E.)Mental health (based on self-reported measures): B.) Prior utilization
2. A provision in some group life insurance plans that provides for
the payment of all or part of the death benefit in the event of the
insured's terminal illness is called:
A.)Accelerated death benefits
B.)Waiver of premiums
C.)Maturity value benefits
D.)Continuation-of-protection
E.)Assignment: A.) Accelerated death benefits
3. What reasons are given for the Silver plan being a popular choice
among all the Affordable Care Act (ACA) health plans?
A.)The Silver plan has the greatest actuarial value of all the plans.
B.)Cost-sharing subsidies to lower out-of-pocket costs are
available only to people who select the Silver plan.
C.)The Silver plan has the greatest benefits, even more than the
Gold and Platinum plans.
D.)The Silver plan has the lowest out-of-pocket costs of any plan
even before any subsidies.
E.) Many people select the Silver plan because they are not eligible
for the Gold or Platinum plans.: B.) Cost-sharing subsidies to lower out-of-pocket costs are
available only to people who select the Silver plan.
4. Which of the following measures of cost is generally used by
,analysts when they are examining the impact of insurance premiums
on employees' choice of
health insurance plans?
A.)The loading percentage
B.)The total gross premium
C.)The insurer's profit
D.)The employee's out-of-pocket price
E.)The expected future gross premium: D.) The employee's out-of-pocket price
5. Which of the following statements regarding recognition as a
patient-cen- tered medical home (PCMH) is correct?
A.)The only organization that can officially recognize a PCMH is the
Federally Qualified Health Center Demonstration.
B.)The only organization that can officially recognize a PCMH is the
National Committee for Quality Assurance (NCQA).
C.)No single organization is responsible for recognizing PCMHs.
D.)The main organization that recognizes PCMHs is the Joint
Commission and the Accreditation Commission for Health Care.
E.)A PCMH can be recognized only by the state in which it is
domiciled.: C.) No single organization is responsible for recognizing PCMHs.
6. Which of the following statements regarding private health
insurance ex- changes and Small Business Health Options
Program (SHOP) exchanges is correct?
A.)A lot of evidence has been produced to show that private
exchanges have been designed to make it easier for small
business to self-insure.
B.)The income tax incentives previously provided to small
employers in the SHOP program have expired.
C.)Recently states were given the option of making SHOP exchanges
manda- tory for all employers with fewer than 200 employees.
D.)Private exchanges could affect SHOP exchanges by siphoning
,enroll- ment from them and thereby reducing revenue (administrative
fees) critical to SHOPs' financial viability.
, E.)Unlike private exchanges, SHOP exchanges do not have the ability
to offer small employers a number of plan choices.: D.) Private exchanges could
attect SHOP exchanges by siphoning enrollment from them and thereby reducing revenue
(administrative fees) critical to SHOPs' financial viability.
7. What is the waiting period for Social Security Disability Income
(SSDI) bene- fits?
A.)One month
B.)Three consecutive months
C.)Five consecutive months
D.)Six consecutive months
E.)Twelve consecutive months: C.) Five consecutive months
8. "Desktop medicine" is a fully integrated approach using
information technol- ogy whose primary goal is to:
A.)Recruit prospective health plan subscribers
B.)Help track patients through their plan of care
C.)Encourage patient self-diagnosis using the Internet
D.)Gather health status metrics for large patient populations
E.)Expedite health provider use of technology: B.) Help track patients through
their plan of care
9. Until now, the biggest source of cost savings with private health
insurance exchanges has been:
A.)Transition to the defined contribution approach
B.)Increased use of technology
C.)Employees choosing less generous plans
D.)Better health education of employees
E.)Elimination or reduction in administrative waste: C.) Employees choosing
less generous plans
10. Out-of-network health care accounts for approximately what
percentage of total covered health insurance expenses?
