Health Care Knowledge

What health care insurance is not publicly funded. 

• TRICARE

• Blue Cross Blue Shield

• Medicare Part A, B, C, D

• Medicaid

Which statement is correct for source of payment?

• Medicare and Medicaid costs are paid for only by the federal government

• The state governments are the only payer for Medicare costs

• The state governments are the only payer for Medicaid costs

• Medicare and Medicaid costs are jointly paid for by the federal government and the states

Which 2 types of insurance plans are most well known for being open access models? 

• Preferred provider organization (PPO) 

• Provider-sponsored organization (PSO) 

• High deductible health plan (HDHP) 

• Health maintenance organization (HMO)  

Which of the following are 2 terms used when referring to functions only related to electronic health records (EHRs)? 

• Microfilm  

• Meaningful use 

• Computerized provider order entry (CPOE) 

• Photocopy 

Match each model of physician/patient interaction to its description.Match the following

• Physician assists patient in determining which treatment is most in line with the patient’s values

• Informative 

• Physician provides information about treatment options and patient decides on their own treatment

• Paternalistic 

• Physician dialogs with patient to help choose the best health-related values and best outcomes

• Interpretive 

• The physician decides on the best treatment and talks to patient to obtain consent only

• Deliberative 

What health care costs are not paid for in the United States

• Publicly funded insurance coverage 

• Privately funded insurance coverage 

• Universal health care coverage 

• Individuals 

Which 3 statements accurately describe the Health Insurance Portability and Accountability Act? 

• It helps remove the barriers to employees who change employment without losing insurance coverage

• It enacted more health information privacy protections for patients. 

• It is abbreviated HIPPA

• It gives access to health information exchanges (HIEs)

Which 2 health care services are funded by the government? 

• Workers’ compensation programs 

• Indian Health Services (IHS) 

• Veterans’ Health Administration 

• Medicare Supplemental Insurance  

Which 3 populations do not have health care coverage, even after the implementation of the Affordable Care Act (ACA)? 

• Undocumented immigrants 

• Younger, healthier individuals who do not have disabilities and choose not to purchase coverage 

• People who do not file income taxes and do not qualify for Medicaid 

• Tribal citizens 

• Non-exempt individuals under the ACA 

Match the followingMatch how the patient/policyholder can be impacted by each insurance plan type

• Patient can choose to go out of network to see providers of choice but may have to pay more to do so

• Health maintenance organization (HMO) 

• Patient is allowed to choose any provider, pay high deductible unless HSA component

• High deductible health plan (HDHP) 

• Patient must get a referral from PCP to see a specialist

• Preferred provider organization (PPO)