Exam 4
Which of the following countries placed highest on the healthcare access and quality
(HAQ) index?
a. Netherlands
b. United Kingdom
c. Germany
d. New Zealand
e. Switzerland - CORRECT ANSWER-e. Switzerland
The most costly expansion of Medicaid since its inception is referred to as:
a. Aid For Dependent Children.
b. the 2014 Medicaid expansion.
c. State Health Insurance Program.
d. Temporary Assistance for Needy Families.
e. The State Children's Health Insurance Program. - CORRECT ANSWER-e. The State
Children's Health Insurance Program.
A collectively financed medical care system that provides universal coverage to a basic
benefits package for everyone, including the ability to purchase additional coverage with
a supplemental insurance policy:
a. Is unfair because it creates a two-tiered system.
b. will do harm to the more vulnerable segments of the population: poor, sick, and
elderly.
c. may not be equal but is welfare enhancing for everyone.
d. seldom works when actually applied in the real world. - CORRECT ANSWER-c. may
not be equal but is welfare enhancing for everyone.
The federal share of Medicaid financing, or federal medical assistance percentage
(FMAP), ranges from a minimum of what percent in 13 high-income states to what
percent in Mississippi?
a. 50%; 75%
b. 50%; 60%
c. 25%; 50%
d. 25%; 75% - CORRECT ANSWER-a. 50%; 75%
To better control overall Medicaid spending, most states:
a. establish strict rules against using the emergency room in non-emergency situations.
b. enroll all eligible recipients in managed care plans.
, c. require eligible enrollees to participate in wellness education programs, such as
smoking secession and nutrition classes.
d. set strict limits on the number of primary care physicians that can accept Medicaid
patients.
e. charge participants modest copays on physicians' services. - CORRECT ANSWER-b.
enroll all eligible recipients in managed care plans.
How is the issue of the "free rider" relevant to the discussion of whether access to
medical care is a fundamental right?
a. Providing medical care at zero cost will maximize social welfare.
b. The free rider argument is based on the idea that access to medical care should be
free and available to everyone.
c. As long as there is excess capacity in the medical care system, providing free access
to care does not present a resource allocation problem.
d. The socially responsible approach is to provide free access to all the medical care a
person desires. - CORRECT ANSWER-b. The free rider argument is based on the idea
that access to medical care should be free and available to everyone.
In 2008, the state of Oregon used a lottery to extend Medicaid coverage to an additional
10,000 residents (often called the Oregon Experiment). Two years after enrollment, the
lottery winners (the treatment group):
a. experienced an increase in the probability of receiving a diagnosis of diabetes and
the use of drugs to control the condition.
b. had lower overall health care spending.
c. had fewer emergency room visits than those who lost the lottery (the control group).
d. had lower predicted risk of cardiovascular episodes.
e. had significant improvement in their quality of life measured by blood pressure,
cholesterol, and blood sugar levels. - CORRECT ANSWER-a. experienced an increase
in the probability of receiving a diagnosis of diabetes and the use of drugs to control the
condition.
The average federal medical assistance (FMAP) percentage across the United States
received by the typical state is approximately what percentage of overall Medicaid
spending?
a. 50 percent
b. 75 percent
c. 55 percent
d. 70 percent
e. 60 percent - CORRECT ANSWER-e. 60 percent
Which of the following statements is true about the Medicaid program?
a. The majority of total outlays are for the elderly and disabled.
b. Eligibility standards are uniform across all states.
c. Everyone in the poverty-level population is eligible for benefits.
d. Federal tax revenues provide 100 percent of the program's funding.