A4 Chapter 6
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School
Ferris State University *
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Course
101
Subject
Health Science
Date
Dec 6, 2023
Type
Pages
2
Uploaded by CommodoreCamelMaster84
COHP 101 - Assignment 4
Chapter Assignments are based upon the information found within the appropriate chapters of
the text. Reading the textbook is important in understanding the U.S. health care system and its
relationship to you, your chosen profession and the national as well as a global community.
Instructions:
●
Answer the items using
Chapter 6 from the textbook
.
●
Using the chart below, fill in answers in the space provided. Use ONLY this format.
●
The text box will expand as needed.
●
Provide a complete, short, concise answer (from the information provided in the text) for
each question/item.
#
Questions
Answers
Chapter 6:
1.
In the United States, both _______
a.
_________ and
_______
b.
________ financing play substantial roles,
unlike single-payer systems implemented in countries
like United Kingdom and Canada.
a.
Public
b.
Private
2.
Chapter 6 is about Health Services Financing. Your
textbook defines ‘insurance’ as a mechanism for
protection against risk, where risk is the possibility of a
substantial financial loss.
The book goes on to describe four (4) fundamental
principles of insurance. These four principles are:
a.
Risk
b.
Insurer
c.
underwriting
d.
Preexisiting conditions
3.
According to Figure 6-2 in your textbook,
Health
Insurance Status of the Total U.S. Population in
2018, a
total of ____
a.
______% of Americans hold private
health insurance, and a total of _____
b.
______% are
uninsured.
a.
55%
b.
9%
4.
There are three groups of individuals who are financed
by the Title 18 of the Social Security Act (also known as
Medicare) and are reenrolled in Medicare regardless of
their income status.
These three (3) groups include:
a.
persons 65 and older
b.
disabled individuals whoare
entitled social security benefits
c.
people who have end stage renal
disease
5.
The amount charged by the insurer to insure against
specified risk is called a: _______
a.
__________.
And
The amount the insured must first pay each year before
any benefits are payable by the plan is called a:
_________
b.
____________.
a.
premium
b.
deductible
6.
CHIP stands for:
childrens health insurance program
7.
CHIP, also known as Title 21 of the Social Security Act,
was developed in 1997 in response to:
The plight of uninsured children whose
families' incomes exceeded the
Medicaid threshold levels, which
made them ineligible for Medicaid
coverage
8.
There are several types of Public health insurance
available to U.S. citizens. These public health
insurances are: (2 points)
a.
b.
c.
d.
Healthcare for the Military
e.
Veterans’ Health Administration and
f.
Indian Health Services
a.
medicare
b.
medicaid
c.
CHIP
9.
According to the payment function, insurance companies
like MCOs, Blue Cross/Blue Shield, and the government
(for Medicare and Medicaid) are referred to as
_________
a.
____________, with the other two parties
being the ______
b.
__________ and the
_________
c.
____________.
a.
third party payers
b.
patient
c.
provider
10.
According to Figure 6-2 in your textbook,
Health
Insurance Status of the Total U.S. Population in
2018, a
total of ____
a.
______% of Americans have Medicare,
and a total of _____
b.
______% have Medicaid as their
public health insurance.
a.
14%
b.
20%
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