Jacob Smith's Quiz History_ Week 2 - Quiz 1

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School

University Of Arizona *

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Course

205

Subject

Mechanical Engineering

Date

Feb 20, 2024

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pdf

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8

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Week 2 - Quiz 1 Results for Jacob Smith Score for this attempt: 12 out of 15 Submitted Feb 11, 2023 at 7:07am This attempt took 14 minutes. 1 / 1 pts Question 1 Match the following terms and definitions. Discounted fee-for-service A reimbursement system Consumer-driven healthcare Health plans in which em Annual deductible A set amount individuals Co-payment A set fee the patient is ch Value-based model A reimbursement model 1 / 1 pts Question 2 Match the following terms and definitions. Preexisting condition A legal clause that, prior
Medigap A type of insurance plan Gatekeeping The main strategy mana Worker's compensation A state-administered fed Health spending account A pre-tax medical saving 0 / 1 pts Question 3 Incorrect Incorrect Which of the following is NOT an element of an Explanation of Benefits (EOB)? The amount billed by the healthcare provider The discount negotiated by the insurance company The invoice for what the patient owes The amount paid toward the patient’s deductible The answer can be found in Chapter 3 of The U.S. Healthcare System: An Introduction , in the feature box “Under the Microscope: A Sample Explanation of Benefits.” 1 / 1 pts Question 4
Karl is disabled following a workplace accident. As a Social Security Disability Insurance (SSDI) beneficiary, Karl is eligible for some Medicare benefits after he has been on SSDI for __________. six months ten months one year two years 1 / 1 pts Question 5 James, a 67-year-old mechanic, pays monthly Medicare premiums based on his income. Medicare Part __________ most likely pays for James’s outpatient cataract surgery. A B C D 1 / 1 pts Question 6 Sheila is a 70-year-old blind widow with few financial resources. Sheila never held a job; however, the federal government most likely provides her with __________, while her state offers Sheila __________.
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Supplemental Security Income; Medicaid Medicare; Supplementary Security Income Social Security Disability Insurance; Medicaid Supplementary Security Income; Medicare 1 / 1 pts Question 7 Which of the following is NOT a category of managed care? Blue Cross Blue Shield organizations (BCBS) preferred provider organizations (PPOs) health maintenance organizations (HMOs) independent practice associations (IPAs) 1 / 1 pts Question 8 The federal government became involved in healthcare in __________, when President Lyndon B. Johnson signed Medicare and Medicaid into law. 1960 1965 1968 1970
1 / 1 pts Question 9 Medicare is financed in all of the following ways EXCEPT through __________. government revenues payroll taxes foundational grants beneficiary premiums 1 / 1 pts Question 10 Which of the following is NOT a requirement for health coverage in the Children’s Health Insurance Program? Must not be eligible for Medicaid Must be under the age of 19 Must be unable to afford private insurance Must be physically or mentally disabled 1 / 1 pts Question 11 The oldest form of medical reimbursement is __________.
fee-for-time fee-for-service capitation contractual 0 / 1 pts Question 12 Incorrect Incorrect Gina is responsible for 20 percent of her covered health services after her insurance company has paid its 80 percent share. This type of cost- sharing is known as __________. a premium a co-payment coinsurance a deductible The answer can be found in Chapter 3 of The U.S. Healthcare System: An Introduction , under the heading “Employer and Employee Cost-Sharing.” 1 / 1 pts Question 13 This year, Dr. Fischer has helped ten patients to stop smoking cigarettes and cigars. In which form of healthcare reimbursement is Dr. Fisher most likely to be financially rewarded for this achievement?
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fee-for-service pay-for-performance capitation value-based 0 / 1 pts Question 14 Incorrect Incorrect GoodCare Hospital has converted all of its patient files to electronic health records (EHRs). The Affordable Care Act awards incentives to hospitals that use EHRs, a quality measure that is known as a(n) __________ measure. process outcome patient structure The answer can be found in Chapter 3 of The U.S. Healthcare System: An Introduction , under the heading “Pay-for-Performance.” 1 / 1 pts Question 15 Health insurance shifts the risk of financial loss from a(n) __________ to a(n) __________.
provider; individual third party; second party individual; provider individual; third party Quiz Score: 12 out of 15