TestBankforPrinciplesofHealthcarReimbursement5thEdition

Test Bank for Principles of H Questions 1. What is the name of your state’s insurance commission? Name depends upon the state of the student’s residence. 2. What is the mission of your state’s insurance commission? Mission depends upon the insurance commission of the state of the student’s residence. 3. List three consumer-related topics on the insurance commission’s website. Additional topics depend upon the insurance commission of the state of the student’s residence. However, common topics include fraud protection, long-term care coverage, supplemental Medicare insurance, rate comparisons, and children’s health insurance. Lecture Microsoft PowerPoint (.pptx) slides are available on website. These slides may be used as lecture guides. Class Discussion The Theory into Practice section, Real-World Case, Application Exercises, and questions in the Check Your Understanding sections located throughout the chapter can be used to stimulate class discussions or online chats. Application Exercises 1. Bring a healthcare insurance card to a class session or have a healthcare insurance card on hand for an online discussion. No answer necessary. 2. List all the healthcare insurance companies represented by the cards of the members of the class. Type and number of healthcare insurance companies represented by the cards depends upon the composition of the class. If many members of the class or their parents or spouses all work for the same employer, fewer names will be listed than if there are many different employers. 3. Is the language on the healthcare insurance cards standardized? No. Have the students compare and contrast the language on the cards, such as (a) plan vs. company, (b) enrollee vs. member vs. policyholder vs. subscriber vs. insured, (c) group number vs. member number v. subscriber number vs. identification number, (d) policy vs. group, (e) dependent vs. covered individual. 4. Go to the websites of some of the healthcare insurance companies. What are some hot topics?  Free programs to help members to manage health conditions, such as asthma, diabetes, heart disease, pregnancy, obesity, and others.  Health and wellness programs, such as smoking cessation, walking, exercise, seat belt use, and wellness incentives.  Preventive care, such as immunizations and cancer screenings.  Reports on issues, such as philanthropic activities (free flu shots), uninsured citizens, relief for victims of weather emergencies, and transparency and consumerism. Principles of Healthcare Reimbursement: Instructor’s Manual Chapter 1 6  Access to computer applications to create personal health records and health profiles. Questions from Text with Keys Check Your Understanding Questions Check Your Understanding 1.1 1. True or false? The national health service (Beveridge) model is different from the social insurance (Bismarck) model because the Beveridge model is financed by general revenue funds from fiscal taxes, whereas the Bismarck model is financed by workers’ and employers’ compulsory payroll contributions into sickness funds. True 2. What are four characteristics of the US healthcare sector? Four characteristics of the United States are its large size, complexity, intricate payment methods and rules, and programs’ broad scopes. 3. True or false? The federal role in the healthcare sector is limited to paying providers for the healthcare costs of senior citizens. False