#1
Which of the following is NOT a characteristic of fee-for-service insurance?
Providers are reimbursed for each service rendered
Encourages unnecessary medical procedures
Focuses on preventative care
Patients have freedom to choose healthcare providers
#2
Which healthcare legislation was enacted in 2010 in the United States?
Medicaid Expansion
Affordable Care Act (ACA)
Health Insurance Portability and Accountability Act (HIPAA)
Medicare Part D
#3
Which of the following is a key provision of the Health Insurance Portability and Accountability Act (HIPAA)?
Establishing a national healthcare system
Protecting patient privacy and data security
Expanding Medicaid coverage
Regulating pharmaceutical companies
#4
What does COBRA stand for in the context of healthcare?
Continuation of Business Regulation Act
Consolidated Omnibus Budget Reconciliation Act
Comprehensive Occupational Benefits and Rights Act
Control of Biomedical Research Activities
#5
What does EOB stand for in the context of health insurance?
Electronic Outpatient Billing
Estimated Out-of-Pocket Balance
Explanation of Benefits
Emergency Operations Bureau
#6
What is the primary goal of a single-payer healthcare system?
To provide universal coverage through a government-funded system
To allow insurance companies to compete for customers
To limit access to healthcare services
To prioritize profit over patient care
#7
Which insurance model involves a predetermined, fixed payment per member per month to a healthcare provider?
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
Exclusive Provider Organization (EPO)
Capitation
#8
Which type of insurance plan typically requires referrals from primary care physicians (PCPs) to see specialists?
Medicare Advantage Plan
Point of Service (POS) Plan
Exclusive Provider Organization (EPO)
Indemnity Plan
#9
What is a Health Savings Account (HSA) primarily used for?
To pay for current medical expenses
To save for retirement
To fund educational expenses
To cover long-term care costs
#10
What is the primary purpose of a Health Maintenance Organization (HMO)?
To maximize profits for shareholders
To provide comprehensive care at lower costs
To limit access to healthcare services
To prioritize elective procedures over essential treatments
#11
What is a characteristic of a high-deductible health plan (HDHP)?
Low premiums and high out-of-pocket costs
No deductible requirement
Excludes coverage for preventive care
Primarily designed for low-income individuals
#12
Which legislation established the Children's Health Insurance Program (CHIP) in the United States?
Affordable Care Act (ACA)
Health Insurance Portability and Accountability Act (HIPAA)
Social Security Act
Balanced Budget Act of 1997
#13
Under the Affordable Care Act (ACA), what is the maximum allowable waiting period for health insurance coverage to begin?
30 days
60 days
90 days
120 days
#14
Which type of insurance plan typically requires a deductible to be met before coverage kicks in?
Health Savings Account (HSA)
Preferred Provider Organization (PPO)
Exclusive Provider Organization (EPO)
High-Deductible Health Plan (HDHP)
#15
Which healthcare legislation aimed to expand access to affordable health insurance options in the United States?
Health Insurance Portability and Accountability Act (HIPAA)
Affordable Care Act (ACA)
Balanced Budget Act of 1997
Medicare Part D