Questions and verified Answers
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) - CORRECT ANSWERS B.) Prior
utilization
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 - CORRECT ANSWERS A.) Accelerated death benefits
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. -
CORRECT ANSWERS B.) Cost-sharing subsidies to lower out-of-pocket costs are available
only to people who select the Silver plan.
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 - CORRECT ANSWERS D.) The employee's out-of-
pocket price
Which of the following statements regarding recognition as a patient-centered 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. - CORRECT ANSWERS
C.) No single organization is responsible for recognizing PCMHs.
Which of the following statements regarding private health insurance exchanges 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 mandatory for all employers with
fewer than 200 employees.
D.) Private exchanges could affect SHOP exchanges by siphoning enrollment 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. - CORRECT ANSWERS D.) Private exchanges could affect SHOP exchanges by
siphoning enrollment from them and thereby reducing revenue (administrative fees) critical to SHOPs'
financial viability.
What is the waiting period for Social Security Disability Income (SSDI) benefits?
A.) One month
B.) Three consecutive months
C.) Five consecutive months
D.) Six consecutive months
E.) Twelve consecutive months - CORRECT ANSWERS C.) Five consecutive months
"Desktop medicine" is a fully integrated approach using information technology 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 - CORRECT ANSWERS B.) Help track patients
through their plan of care
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 - CORRECT ANSWERS C.) Employees
choosing less generous plans
Out-of-network health care accounts for approximately what percentage of total covered health
insurance expenses?
A.) 3
B.) 10
C.) 20
D.) 25
E.) 30 - CORRECT ANSWERS B.) 10
The major advantage of term insurance for the policyowner is the fact that: