HPRS 3301 FINAL EXAM CH8-14 QUESTIONS AND
ANSWERS 100% CORRECT
A recent trend in health insurance plans is consumer driven health plans which are tax
advantage plans with high deductible coverage. The most common CDHP's are health
reimbursement arrangements and health savings accounts. - ANSWER True
Medicare Part B is primarily financed from payroll taxes and is considered hospital
insurance. - ANSWER False
Managed care plans are a type of health program that combines administrative costs
and service costs and service costs for cost control - ANSWER True
Medicare is an entitlement program because after paying into the program for years,
people are entitled to receive benefits. - ANSWER True
True or False? All insurance falls under these three categories: voluntary, social, and
private. - ANSWER False
If a physician is an employee of a managed care organization, the MCO will pay the
physician's salary and bonuses based on performance. - ANSWER True
The Affordable Care Act of 2010 mandates the health insurance companies must spend
80%-85% of their premium revenues on quality health care. - ANSWER True
As the types of MCOs have evolved over the years, the restrictions have lessened, but
there is a financial penalty such as a higher copayment or higher deductible for
choosing a provider outside of the network. - ANSWER True
In some managed care organizations, the primary care provider is considered a
gatekeeper of all care for the patient member. - ANSWER True
, Silent PPOs are unauthorized third parties outside the contact between the MCO and the
physician that gain access to the MCO discount rates. - ANSWER True
Another term for Medicare Part C is Medicare Supplement Plan - ANSWER False
The Occupational Health and Safety Act was passed to ensure that employers have a
duty to treat to provide a safe and healthy work environment for their employees, which
are very important for the healthcare industry because of potential exposure to
bacteria, viruses, and contaminated fluids. - ANSWER False
The Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA), an amendment
to ERISA, was passed to protect employees who lost or changed employers so they
could keep their health insurance if they paid 102% of the full premium. - ANSWER True
Failing to hire an applicant because she is a transgender woman and firing an employee
because she or he is planning or has made a gender transition are considered unlawful
sex discrimination according to the Equal Employee Opportunity Commission (EEOC). -
ANSWER True
According to the American Medical Association (AMA), once a patient and physician
relationship has started, the physician is not legally but ethically obligated to continue
the relationship until the patient no longer requires their care. - ANSWER False
Economic equipment and actions are important to the healthcare industry because
many workers often lift patients to and from beds, operating tables, and wheelchairs -
ANSWER False
An affirmative action plan is a strategy that encourages employers to increase the
diversity of their workforce by hiring individuals based on race, sex, and age. - ANSWER
True
The Genetic Information Nondiscrimination Act of 2008 prohibits U.S. insurance
ANSWERS 100% CORRECT
A recent trend in health insurance plans is consumer driven health plans which are tax
advantage plans with high deductible coverage. The most common CDHP's are health
reimbursement arrangements and health savings accounts. - ANSWER True
Medicare Part B is primarily financed from payroll taxes and is considered hospital
insurance. - ANSWER False
Managed care plans are a type of health program that combines administrative costs
and service costs and service costs for cost control - ANSWER True
Medicare is an entitlement program because after paying into the program for years,
people are entitled to receive benefits. - ANSWER True
True or False? All insurance falls under these three categories: voluntary, social, and
private. - ANSWER False
If a physician is an employee of a managed care organization, the MCO will pay the
physician's salary and bonuses based on performance. - ANSWER True
The Affordable Care Act of 2010 mandates the health insurance companies must spend
80%-85% of their premium revenues on quality health care. - ANSWER True
As the types of MCOs have evolved over the years, the restrictions have lessened, but
there is a financial penalty such as a higher copayment or higher deductible for
choosing a provider outside of the network. - ANSWER True
In some managed care organizations, the primary care provider is considered a
gatekeeper of all care for the patient member. - ANSWER True
, Silent PPOs are unauthorized third parties outside the contact between the MCO and the
physician that gain access to the MCO discount rates. - ANSWER True
Another term for Medicare Part C is Medicare Supplement Plan - ANSWER False
The Occupational Health and Safety Act was passed to ensure that employers have a
duty to treat to provide a safe and healthy work environment for their employees, which
are very important for the healthcare industry because of potential exposure to
bacteria, viruses, and contaminated fluids. - ANSWER False
The Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA), an amendment
to ERISA, was passed to protect employees who lost or changed employers so they
could keep their health insurance if they paid 102% of the full premium. - ANSWER True
Failing to hire an applicant because she is a transgender woman and firing an employee
because she or he is planning or has made a gender transition are considered unlawful
sex discrimination according to the Equal Employee Opportunity Commission (EEOC). -
ANSWER True
According to the American Medical Association (AMA), once a patient and physician
relationship has started, the physician is not legally but ethically obligated to continue
the relationship until the patient no longer requires their care. - ANSWER False
Economic equipment and actions are important to the healthcare industry because
many workers often lift patients to and from beds, operating tables, and wheelchairs -
ANSWER False
An affirmative action plan is a strategy that encourages employers to increase the
diversity of their workforce by hiring individuals based on race, sex, and age. - ANSWER
True
The Genetic Information Nondiscrimination Act of 2008 prohibits U.S. insurance
