#1
In the context of health insurance, what does the term 'underwriting' involve?
Evaluating and determining the risk of insuring an individual
ExplanationUnderwriting in health insurance involves assessing the risk associated with insuring an individual.
#2
What is the purpose of the Affordable Care Act (ACA) in the United States?
To expand access to healthcare, improve quality, and control costs
ExplanationACA aims to enhance access, quality, and cost control in the U.S. healthcare system.
#3
What is the primary purpose of health insurance?
To reduce healthcare costs
ExplanationHealth insurance primarily aims to lower overall healthcare costs for individuals.
#4
In the context of healthcare, what does the term 'co-payment' mean?
The fixed amount the insured must pay for each medical service or prescription
ExplanationCo-payment is the fixed amount paid by the insured for each medical service or prescription.
#5
Which of the following is a primary goal of a healthcare system?
Ensuring equitable access to healthcare services
ExplanationHealthcare systems aim to provide fair and equal access to medical services for all individuals.
#6
What does the term 'co-payment' refer to in health insurance?
The percentage of healthcare costs paid by the insured individual
ExplanationCo-payment in health insurance involves the insured paying a percentage of the healthcare costs.
#7
Which type of healthcare system is characterized by government ownership and operation of healthcare facilities?
Socialized Medicine
ExplanationSocialized Medicine involves both government ownership and operation of healthcare facilities.
#8
In the context of health insurance, what does the term 'deductible' refer to?
The amount the insured pays out of pocket before the insurance coverage starts
ExplanationDeductible in health insurance is the amount paid by the insured before coverage begins.
#9
Which type of healthcare system is characterized by government ownership and control of healthcare facilities and services?
Socialized medicine
ExplanationSocialized medicine involves government ownership and control of healthcare facilities and services.
#10
What is the purpose of the Health Maintenance Organization (HMO) model in healthcare insurance?
To control costs through preauthorization requirements
ExplanationHMOs aim to manage costs by requiring preauthorization for healthcare services.
#11
What is the primary purpose of Health Maintenance Organizations (HMOs) in healthcare systems?
To manage and coordinate healthcare services for enrolled members
ExplanationHMOs focus on managing and coordinating healthcare services for their enrolled members.
#12
Which of the following is a characteristic of a Fee-for-Service (FFS) payment model in healthcare?
Providers are paid based on the services they deliver
ExplanationIn FFS, healthcare providers are compensated based on the services they provide.