HCA Midterm Exam Questions with 100% Complete Solutions , A+

Premiums are based off of: 1) family type 2) age 3) geography and what else? - Premiums are based off of: 1) family type 2) age 3) geography 4) tobacco use In , who are only allowed to partake in health insurance marketplaces? - Individuals and small group employers are only allowed to partake in health insurance marketplaces. Where can you compare health insurance plans? - You can easily compare health insurance plans with the Summary of Benefits and Coverage. Who is targeted to lower premiums and improve benefits in all 50 states? - The Consumer Operated and Oriented plans seek to lower premiums and improve benefits in all 50 states. Who is in charge of enrollment assistance for health insurance? - The Consumer Information and Insurance Coverage is responsible for enrollment assistance. What's available to small businesses with up to 100 employees who want to purchase health coverage? - The Small Business Health Options Program is available to small businesses with up to 100 employees to purchase health coverage. When does the open enrollment for health insurance begin? - The open enrollment for health insurance begins in October. What is the last time to enroll for health insurance? - The last day of the 3rd month of the year is the last opportunity to enroll for health insurance. What happens if you don't sign up within the open enrollment time period? - You will have to pay a fine and you are also unable to get health insurance for that time period. You will have to wait til the next time to get it. What is considered a life qualifying event? - A life qualifying event could be a job or geographic changes. What was the fee in 2014 to enroll for health insurance? - The fee in 2014 to enroll for health insurance was 1% of the person's yearly income or $75 per person. What was the max that a family would have to pay for health insurance in 2014? - The max that a family would have to play in 2014 would be $285. What was the fee in 2016 for a whole family to get health insurance? - The fee in 2016 for a whole family to get health insurance was $695. What are the 3 ways you cannot be charged a fee? - The three ways you cannot be charged a fee are if: 1) hella poor 2) part of a religious sect 3) part of a federally recognized indian tribe Is Public Plan Option a state or government run health insurance agency? - Public Plan Option is a government run health insurance agency. Who is able to compete with other health insurance companies? - The government run health insurance agency aka Public Plan Option is able to compete with other health insurance companies. What does CHIP stand for? - CHIP stands for Children's Health Insurance Program. What is one way you can receive health care services at home? - Community 1st Choice is one way you are able to receive health care at home. What is the coverage gap known as? - The coverage gap is known as the donut hole. Who is responsible for the coverage gap ? - Medicare Part D is responsible for the coverage gap. With the prescription plan, how much money has the US saved? - With the prescription plan, the US has saved over $7 billion dollars! How much money per person has the US saved under the prescription plan? - Under the prescription plan, the US has saved $1,061 per person. The Independent Payment Advisory Board is focused on doing what? - The Independent Payment Advisory Board is focused on reducing Medicare costs. How many people are included in the Independent Payment Advisory Board? - There are 15 people in the Independent Payment Advisory Board. Who appointed and confirmed the Independent Payment Advisory Board? - The president of the US appointed the Independent Payment Advisory Board and the Senate confirmed it too. Who compares the outcomes of disease treatment? - The Patient-Centered Outcomes Research Institute compares the outcomes of disease treatment. Is the Patient-Centered Outcomes Research Institute a non profit organization established in 2008? - No, the Patient-Centered Outcomes Research Institute is a non-profit organization established in 2010. The Independence At Home Program is responsible for providing who with at-home primary care? - The Independence At Home Program is responsible for providing MEDICARE BENEFICIARIES with at-home primary care. The Independence at home program likes to help those who are _____ ill. - The IHP likes to help those who are chronically ill. The Independence at Home Program was made to see if its cheaper than what care? - The Independence at Home Program was made to see if its cheaper than hospital care. The National Prevention Council's goal is what? - Their goal is to make sure that people are free from all bad addictions, substances, and habits. Who is in charge of making sure that national policies are in alignment with consumer needs? - The National Healthcare Workforce Commission is in charge of making sure that national policies are in alignment with consumer needs. The Primary Care Extension Program is responsible for providing ____ assistance to primary care providers. - The Primary Care Extension Program is responsible for providing TECHNICAL assistance to primary care providers. What act was established to prevent and eliminate elder patient abuse? - The Elder Justice Act was established to prevent and eliminate elder patient abuse. How much money has been put into the Elder Justice Act? - $6 million dollars has been put into the Elder Justice Act. 340B of the Public Health Service Act was passed what year? - 340B of the Public Health Service Act was passed in 1992. 340B of the Public Health Service Act was passed to give more affordable drugs to children and who else? - 340B of the Public Health Service Act was passed to give more affordable drugs to children and UNDESERVED COMMUNITY RESIDENTS. What does CLASS stand for? - CLASS stands for Community Living Assistance Services & Supports