Question 1

Medicaid is a state public health insurance program.

Accepted Answer

A) True 
 B)False

Question 2

What are the major sources of funding for Medicaid?

Accepted Answer

The federal-state partnership organizati...

Question 3

The source of Medicare funding paying the largest amount is

Accepted Answer

A)   Premium revenue
B)   General revenue
C)   Payroll tax revenue
D)   Taxation on Social Security benefits

Question 4

In Medicare, the goal referring to the burden of payments on specific groups is:

Accepted Answer

A)   Affordability
B)   Equity
C)   Adequacy
D)   Feasibility

Question 5

What are the key characteristics of persons without health insurance in the United States?

Accepted Answer

Most uninsured individuals (84.6%) were ...

Question 6

List six basic types of policy alternatives for Medicare.

Accepted Answer

The following are potential policies Medicare could pursue:
Medicare can change who is entitled to benefits or what benefits individuals receive
Medicare can change Part B premiums, and it can change the out-of-pocket price of supplementary private insurance premiums. As well, Medicare can arrange for supplementary coverage in other programs, such as Medicaid.
Medicare can change the deductibles and copayments paid by enrollees and in the process, impact the demand for care (subject, of course, to the purchase of supplementary insurance).
Medicare can change the basis of reimbursement of providers. In addition to changing the definition of what output they will fund, Medicare can change the rate of payment.
Medicare can introduce competitive practices into its reimbursement mechanism.
Medicare can regulate the behavior of providers (i.e., make them provide care based on specific norms set by the program).

Question 7

Part B of original Medicare covers inpatient hospital services, limited skilled nursing facility services, home health care, and hospice services.

Accepted Answer

A) True 
 B)False

Question 8

The inpatient hospital stays under Medicare are paid a prospectively set rate according to the resource-based relative value scale.

Accepted Answer

A) True 
 B)False

Question 9

The lower a state's per capita income, the lower the rate (the federal match rate-FMAP) paid by the federal government

Accepted Answer

A) True 
 B)False

Question 10

The objective of Medicare's Pathway to Success Program is to

Accepted Answer

A)   Increase savings for the Trust Fund and mitigate losses
B)   Increase gaming opportunities
C)   Promote more rigid regulatory requirements
D)   Restrict free market principles

Question 11

Medicare Advantage plans are paid a capitated amount to provide

Accepted Answer

A)   All Part A, B, and D benefits
B)   All Part A and D benefits
C)   All Part A and B benefits
D)   All Part B and D benefits C

Question 12

Medicare is a national health insurance program for a subset of the U.S. population.

Accepted Answer

A) True 
 B)False  True

Question 13

Medicaid is an entitlement program, so that once a state has established the eligibility criteria for its Medicaid program, then all individuals in the state meeting the criteria have a federal right to Medicaid coverage.

Accepted Answer

A) True 
 B)False

Question 14

The federal government defines minimum requirements that states must meet with Medicaid, but the states have broad authority to establish

Accepted Answer

A)   Eligibility criteria
B)   Benefits covered
C)   Provider payments
D)   Delivery systems
E)   All of the above

Question 15

The Medicare Advantage program is funded separately by premiums from enrollees .

Accepted Answer

A) True 
 B)False

Exam 15: Public Health Insurance

Medicaid is a state public health insurance program.

Correct Answer
verified

What are the major sources of funding for Medicaid?

Correct Answer
verified
The federal-state partnership organizati...
View Answer

The source of Medicare funding paying the largest amount is

Correct Answer
verified

In Medicare, the goal referring to the burden of payments on specific groups is:

Correct Answer
verified

What are the key characteristics of persons without health insurance in the United States?

Correct Answer
verified
Most uninsured individuals (84.6%) were ...
View Answer

List six basic types of policy alternatives for Medicare.

Part B of original Medicare covers inpatient hospital services, limited skilled nursing facility services, home health care, and hospice services.

Correct Answer
verified

The inpatient hospital stays under Medicare are paid a prospectively set rate according to the resource-based relative value scale.

Correct Answer
verified

The lower a state's per capita income, the lower the rate (the federal match rate-FMAP) paid by the federal government

Correct Answer
verified

The objective of Medicare's Pathway to Success Program is to

Correct Answer
verified

Medicare Advantage plans are paid a capitated amount to provide

Correct Answer
verified
C

Medicare is a national health insurance program for a subset of the U.S. population.

Correct Answer
verified
True

Medicaid is an entitlement program, so that once a state has established the eligibility criteria for its Medicaid program, then all individuals in the state meeting the criteria have a federal right to Medicaid coverage.

Correct Answer
verified

The federal government defines minimum requirements that states must meet with Medicaid, but the states have broad authority to establish

Correct Answer
verified

The Medicare Advantage program is funded separately by premiums from enrollees .

Correct Answer
verified

Exam 15: Public Health Insurance

Medicaid is a state public health insurance program.

Correct AnswerverifiedShow Answer

What are the major sources of funding for Medicaid?

Correct AnswerverifiedThe federal-state partnership organizati...View AnswerShow Answer

The source of Medicare funding paying the largest amount is

Correct AnswerverifiedShow Answer

In Medicare, the goal referring to the burden of payments on specific groups is:

Correct AnswerverifiedShow Answer

What are the key characteristics of persons without health insurance in the United States?

Correct AnswerverifiedMost uninsured individuals (84.6%) were ...View AnswerShow Answer

List six basic types of policy alternatives for Medicare.

Part B of original Medicare covers inpatient hospital services, limited skilled nursing facility services, home health care, and hospice services.

Correct AnswerverifiedShow Answer

The inpatient hospital stays under Medicare are paid a prospectively set rate according to the resource-based relative value scale.

Correct AnswerverifiedShow Answer

The lower a state's per capita income, the lower the rate (the federal match rate-FMAP) paid by the federal government

Correct AnswerverifiedShow Answer

The objective of Medicare's Pathway to Success Program is to

Correct AnswerverifiedShow Answer

Medicare Advantage plans are paid a capitated amount to provide

Correct AnswerverifiedC

Medicare is a national health insurance program for a subset of the U.S. population.

Correct AnswerverifiedTrue

Medicaid is an entitlement program, so that once a state has established the eligibility criteria for its Medicaid program, then all individuals in the state meeting the criteria have a federal right to Medicaid coverage.

Correct AnswerverifiedShow Answer

The federal government defines minimum requirements that states must meet with Medicaid, but the states have broad authority to establish

Correct AnswerverifiedShow Answer

The Medicare Advantage program is funded separately by premiums from enrollees .

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified
The federal-state partnership organizati...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
Most uninsured individuals (84.6%) were ...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified
True

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified