A4 Chapter 6

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Ferris State University *

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101

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Health Science

Date

Dec 6, 2023

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pdf

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2

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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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