UMKC HLSC 430 Health Program Management Quiz 6

• Question 1
  _____ reimbursement is based on the assumption that health care is provided in a set of identifiable and individually distinct units of services.
 
• Question 2
  To receive payment for services delivered, providers must file a ____ with third-party payers.
  
• Question 3
  To finance Medicare Part A,

• Question 4
  The phenomenon called 'moral hazard' results directly from
 
• Question 5 
  A set monthly fee per enrollee.
 
• Question 6
  Medicare Part B premiums are
 
• Question 7
  People in older age groups represent a higher risk than those in lower age groups.

• Question 8
  A copayment is generally paid

• Question 9
  What is the central role of health services financing in the United States?
   
• Question 10
  What is the main advantage of group insurance?
 
• Question 11
  The amount of reimbursement is determined before the services are delivered.

• Question 12
  Preferred providers are paid

• Question 13
  What was the main conclusion of the Rand Health Insurance Experiment
   
• Question 14
  Major medical plans do not include dental coverage.

• Question 15
  Under the DRG method of reimbursement, an acute care hospital is paid
 
• Question 16
  State governments are required to partially finance the Medicaid program.

• Question 17
  The majority of beneficiaries receiving health care through Medicare are
   
• Question 18
  Under the Medicaid program, eligibility criteria and benefits are consistent throughout the US.
 
• Question 19
  Medicare provides comprehensive health care services.

• Question 20
  If national health expenditures amount to 16% of the GDP, what does this mean?
   
• Question 21
  Under the Medicare program, eligibility criteria and benefits are consistent throughout the US.
 
• Question 22 
  The primary criterion to become eligible for Medicaid is
   
• Question 23
  The government plays a significant role in financing health care services in the United States.

• Question 24
  A health insurance plan pays for medical care only after the insured has first paid $500 out of pocket on an annual basis. The $500 annual cost is called
 
• Question 25
  What is the primary mechanism that enables people to obtain health care services?
   
• Question 26
  Tax policy in the U.S. provides an incentive to obtain employer-paid health insurance.
 
• Question 27
  A DRG represents
   
• Question 28
  CHIP is available to children without any health insurance in families whose incomes are at or below ____ of the federal poverty level.

• Question 29 
  Public (government) share of the total health care spending in the United States is approximately

• Question 30
  What is the primary reason that a segment of the U.S. population is uninsured?

• Question 31 
  Health insurance increases the demand for health care services.

• Question 32
  In a general sense, what is the primary purpose of insurance?