Deck 5: Affordable Care Act

Question 1

The goal of the PPACA was to _______________, and at the same time, reduce the medical expenditures that Medicare has been facing over the years.

A) expand the coverage of health insurance
B) increase medical expenses
C) remove the burden of coverage for commercial payers
D) None of these is correct.

Answer 1

A

Question 2

Per the Patient Protection and Affordable Care Act (PPACA), in addition to managing the pharmacy expenses for the Medicare beneficiary, ___________________________ will be incentivized to improve the care given to the beneficiary and reduce any unnecessary tests and errors that can cause harm to the patient.

A) primary care physicians
B) home health agencies
C) TANF programs
D) nurses

Answer 2

A

Question 3

There are areas of the country that are in need of primary care physicians, nurses, physician assistants, mental health providers, and dentists. The PPACA will address these issues by making available ______________ that will help attract clinicians to these areas.

A) scholarships
B) reduced room and board
C) loan repayment programs
D) both scholarships and loan repayment programs

Answer 3

D

Question 4

The PPACA allows _______________ to take more control and make better healthcare decisions.

A) case managers
B) insurance companies
C) individuals
D) employers

Question 5

The PPACA looks to save consumers money by __________ to those providers that take care of the low-income patients or may be a disproportionate-share hospital.

A) promoting innovation
B) increasing reimbursement for services
C) extending drug discounts
D) both promoting innovation and extending drug discounts

Question 6

The purpose of the _________________________________ of the PPACA is to provide American citizens with a new option to finance long-term care services.

A) Community Living Assistance Services and Supports Act
B) Transparency and Program Integrity
C) Healthcare Workforce
D) Revenue Provisions

Question 7

The PPACA will offset the premiums for healthcare insurance by providing the _______________ tax cuts that will allow the families and small businesses to benefit from more affordable healthcare coverage.

A) upper class
B) lower class
C) middle class
D) people on Medicare and Medicaid

Question 8

In 2010, the PPACA put insurance coverage online for consumers to compare coverage between plans and pick the best one for their needs. Most importantly, the rules were changed ______________ to children under the age of 19 due to a preexisting condition.

A) to discourage insurance companies from denying coverage
B) to stop insurance companies from denying coverage
C) to allow insurance companies to deny coverage
D) None of these is correct.

Question 9

Accountability was a focus of the PPACA, and the insurance companies were required to bring down the cost of care by spending more of the premium dollars that they collected directly on patient care. The goal was that at least ____ of all premium dollars collected from large employers were spent on healthcare services and supported quality improvement.

A) 65%
B) 75%
C) 85%
D) 95%

Question 10

The PPACA focused on improving quality and, at the same time, lowering costs. When the ______________________________ was established, it offered financial incentives to hospitals to improve the quality of care delivered to the patient.

A) ACO
B) VBP
C) DRG
D) P4P

Question 11

In 2013, the PPACA focused on improving preventative healthcare coverage for the Americans receiving preventative care. It also looked at expanding the use of:

A) fee-for-service payments.
B) capitations.
C) retrospective payments.
D) bundled payments to providers.
E) None of these is correct.

Question 12

The PPACA stops insurance companies from canceling an individual's coverage just because they made a mistake on their insurance application. This protection applies to all health plans for those who get coverage _____________.

A) individually or through an employer
B) through an employer only.
C) individually only.
D) None of these is correct.

Question 13

In the PPACA, individuals have the right to choose the doctor that they want to care for them from the insurance companies' list of network providers. The individuals can also use an out-of-network emergency room provider:

A) without penalty.
B) with a higher copay.
C) as long as they get a referral.
D) if they were admitted to the hospital.

Question 14

The PPACA was enacted on March 23, 2010, and shortly after, the name of the act was changed to the Health Care Reconciliation Act of 2010.

Question 15

In the PPACA, the pool of insurance companies will be the very same pool of providers that all members of Congress will be required to select for their insurance needs.

Question 16

The PPACA will address the status of Medicare and ensure that it protects the Medicare Trust Fund and the overall commitment to the American seniors that rely on the coverage.

Question 17

In addition to reducing costs and improving access and quality care for the Medicare beneficiary, the PPACA will help to tighten up and reduce the overpayments to the insurance companies.

Question 18

The PPACA addresses the shortage of nurses in the country and will take a comprehensive approach of offering enhanced educational opportunities. It will also focus its efforts on the overall supply of professionals in the public health sector.

Question 19

The PPACA was unable to offer relief to Medicare beneficiaries who hit the "donut hole" in their prescription drug coverage that would have given them a one-time rebate check in the amount of $250.

Question 20

By focusing on improving quality and lowering costs, the PPACA shifted the risk to the provider to deliver quality care and lower costs. This was done through the bundle payment, in that the provider was entirely responsible for their profit and loss on a patient but had to balance out quality care and access at the same time.