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1. 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.
e. The law places a ceiling on state per capita spending for enrollees. -
ANSWER a. The majority of total outlays are for the elderly and
disabled.
2. Which of the following provisions included in the Affordable Care Act (ACA)
was responsible for the largest number of newly insured?
a. Individual mandate
b. Expansion of Medicaid
c. Employer mandate
d. Insurance regulation requiring coverage for individuals with
preexisting conditions
e. Creation of the health insurance exchanges (later called
marketplaces) - ANSWER b. Expansion of Medicaid
,3. 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% - ANSWER a. 50%; 75%
4. 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. - ANSWER
b. enroll all eligible recipients in managed care plans.
5. 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. - ANSWER b. The free rider
, argument is based on the idea that access to medical care should be
free and available to everyone.
6. 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. - ANSWER a.
experienced an increase in the probability of receiving a diagnosis of
diabetes and the use of drugs to control the condition.
7. 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 - ANSWER e. 60 percent
8. Before entering the debate of whether access to medical care is a right, it is
important to distinguish between a negative right and a positive right.
Which of the following statements is true?
, a. Consider that Peter has no money. In order for Peter to exercise his
right to medical care, the law requires that Paul pay for it. This is an
example of medical care as a positive right.
b. Negative rights are resource-extracting rights. They require taking
resources from one person in order for someone else to receive
them.
c. Coercion of some kind is essential to guarantee a negative right.
d. Positive rights are freedom-preserving rights; they are enumerated in
the Constitution of the United States.
e. Entitlements such as Medicare and Medicaid are examples of
negative rights. - ANSWER a. Consider that Peter has no money.
In order for Peter to exercise his right to medical care, the law
requires that Paul pay for it. This is an example of medical care as a
positive right.
9. One of the best examples of managed competition in practice is:
a. an accountable care organization (ACO).
b. a consumer-directed health plan (CDHP).
c. a health maintenance organization (HMO).
d. the Federal Employee Health Benefit Plan (FEHBP).
e. a preferred provider organization (PPO). - ANSWER d. the Federal
Employee Health Benefit Plan (FEHBP).
10.Which of the following statements is most true regarding the experience of
reforming medical care in the United States?
a. Investment in electronic health records will save money.
b. Moral hazard is a powerful force.
c. Collective action improves efficiency.
d. Providing more people with insurance coverage expands the risk
pools and lowers premiums.