Deck 14: Oregon

Question 1

The amount of Oregon state funds available to noneducation services, including health care, was ____.

A)limited by a ballot initiative restricting property tax increases and shifting school funding to the state
B)unaffected by the balanced budget requirement
C)increased by "the kicker"
D)increased by the sales tax

Answer 1

limited by a ballot initiative restricting property tax increases and shifting school funding to the state

Question 2

What is "the monster that ate the states"?

A)the Medicaid program
B)the costs of education
C)the Medicare program
D)national health insurance

Answer 2

the Medicaid program

Question 3

In later years, state officials argued that the main cost-saving mechanism of the OHP had all along been ____.

A)the use of managed care
B)rationing pursuant to the list
C)the use of fee-for-service health care delivery
D)the "play or pay" option

Answer 3

the use of managed care

Question 4

The nemesis of Oregon health care reformers has been ____.

A)money
B)ideological disagreement
C)partisanship
D)rationing

Question 5

The author describes the twin beasts of the health policy crisis as ____.

A)reining in costs and expanding access to care for the uninsured
B)rationing and Medicaid funding
C)politics and finance
D)preventive care and curative care

Question 6

When Medicaid enrollees have a health condition that falls below the funding line, ____.

A)they often receive care from willing physicians
B)they are denied even lifesaving care
C)they are enrolled in a lottery to potentially receive care
D)they may receive low-cost aspects of care

Question 7

The 2012 law dubbed "the transformation" seeks to ____.

A)better manage the care of those suffering from multiple and chronic physical and mental health issues
B)limit the care of the most expensive plan members including dual eligibles
C)reduce the benefits provided in the health plans of state employees and public school teachers
D)provide greater autonomy to each managed care organization

Question 8

The OHP was conceived and implemented when ____.

A)there was strong economic growth, substantial agreement among health care policy players, and the new President granted federal waivers that the previous administration had resisted
B)there was a 30-30 partisan split in the Oregon House of Representatives
C)Republicans controlled the governorship and both houses of the legislature and were led in the Oregon Senate by a popular physician
D)the Oregon House of Representatives had two joint House speakers, one Democrat and one Republican, with a conciliatory working style

Question 9

In the author's view, OHP's system of rationing ___.

A)was a more honest and responsible way of dealing with implicit rationing
B)failed to save the state any money
C)lived up to all that its supporters promised
D)continues to be the most prominent feature of OHP

Question 10

The Oregon economy went into recession beginning in 2001 and continuing through 2004. In response, the legislature ____.

A)closed OHP Standard to new enrollments
B)passed a tax package including a personal income tax surcharge, an increase in the minimum corporate tax, and an extension of a cigarette tax
C)limited OHP Standard enrollment to those at 58% or less of the FPL
D)reduced benefits by moving the line up on the priority list to 387

Question 11

Which statement is true regarding the early years of the OHP?

A)Fewer uninsured people showed up in hospital emergency rooms, reducing the hospitals' bad debts.
B)The percentage of uninsured Oregonians remained relatively stable.
C)OHP excluded mental health coverage for the first ten years.
D)A small number of life-threatening conditions fell below the cutoff line.

Question 12

Starting in 2008, the selection process for new enrollees in OHP Standard was limited to ____.

A)persons selected through a lottery
B)pregnant women and low-income families with children under five
C)the categorically eligible Medicaid clients
D)a drawing based on dates of birth

Question 13

To fund the expansion of health insurance coverage of children, Governor Kulongoski proposed an 84.5 cents per package increase in the state's cigarette tax. What was the result?

A)The tobacco industry spent $11.4 million to defeat the measure on the basis that it was unfair to smokers and poorer people and an attack on freedom of choice.
B)Democrats held a three-fifths supermajority in the legislature and enacted the tax increase.
C)The measure was referred to the voters and passed with the support of nearly 90 health, business, union, education, and children's advocacy groups.
D)The measure was revised to be a 1% health insurance assessment on the state's 26 largest hospitals and eight largest health insurance companies, which failed to pass because of the opposition of the hospitals and insurers.

Question 14

How did the Oregon Basic Health Services Act limit the services available to the Medicaid population?

A)by creating a list of diagnosis and treatment pairings
B)by eliminating lifesaving but costly procedures
C)by tightening up eligibility to reduce the Medicaid rolls
D)by reducing health provider reimbursement rates

Question 15

Which statement is true regarding OHP Standard?

A)Its members were dropped immediately if they failed to pay a monthly premium of $6 to $23 per month.
B)It covered the blind, children in foster care, pregnant women, individuals with disabilities, and the elderly.
C)Its members received the same benefits package as OHP Plus with the exception of all preventive care.
D)Its members received the full benefits package as defined by the prioritized list.