#1
Which of the following is NOT a characteristic of fee-for-service insurance?
Focuses on preventative care
ExplanationFee-for-service insurance typically does not prioritize preventative care.
#2
Which healthcare legislation was enacted in 2010 in the United States?
Affordable Care Act (ACA)
ExplanationThe Affordable Care Act (ACA) was enacted in 2010 in the United States.
#3
Which of the following is a key provision of the Health Insurance Portability and Accountability Act (HIPAA)?
Protecting patient privacy and data security
ExplanationHIPAA includes provisions aimed at protecting patient privacy and data security.
#4
What does COBRA stand for in the context of healthcare?
Consolidated Omnibus Budget Reconciliation Act
ExplanationCOBRA stands for the Consolidated Omnibus Budget Reconciliation Act in the context of healthcare.
#5
What does EOB stand for in the context of health insurance?
Explanation of Benefits
ExplanationEOB stands for Explanation of Benefits in the context of health insurance.
#6
What is the primary goal of a single-payer healthcare system?
To provide universal coverage through a government-funded system
ExplanationThe primary goal of a single-payer healthcare system is to provide universal coverage through a government-funded system.
#7
Which insurance model involves a predetermined, fixed payment per member per month to a healthcare provider?
Capitation
ExplanationCapitation involves a predetermined, fixed payment per member per month to a healthcare provider.
#8
Which type of insurance plan typically requires referrals from primary care physicians (PCPs) to see specialists?
Point of Service (POS) Plan
ExplanationPoint of Service (POS) Plans typically require referrals from primary care physicians (PCPs) to see specialists.
#9
What is a Health Savings Account (HSA) primarily used for?
To save for retirement
ExplanationHealth Savings Accounts (HSAs) are primarily used for saving for retirement.
#10
What is the primary purpose of a Health Maintenance Organization (HMO)?
To provide comprehensive care at lower costs
ExplanationThe primary purpose of a Health Maintenance Organization (HMO) is to provide comprehensive care at lower costs.
#11
What is a characteristic of a high-deductible health plan (HDHP)?
Low premiums and high out-of-pocket costs
ExplanationHigh-deductible health plans (HDHPs) typically have low premiums but high out-of-pocket costs.
#12
Which legislation established the Children's Health Insurance Program (CHIP) in the United States?
Balanced Budget Act of 1997
ExplanationThe Children's Health Insurance Program (CHIP) was established by the 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?
90 days
ExplanationUnder the Affordable Care Act (ACA), the maximum allowable waiting period for health insurance coverage to begin is 90 days.
#14
Which type of insurance plan typically requires a deductible to be met before coverage kicks in?
High-Deductible Health Plan (HDHP)
ExplanationHigh-Deductible Health Plans (HDHPs) typically require a deductible to be met before coverage kicks in.
#15
Which healthcare legislation aimed to expand access to affordable health insurance options in the United States?
Affordable Care Act (ACA)
ExplanationThe Affordable Care Act (ACA) aimed to expand access to affordable health insurance options in the United States.