HP Chapter 5 - Healthcare Reform

Under the ACA Young adults can remain on their parents' health plan until age ____.

• 26

• 21

• 30

• 18

Who was the president responsible for passing the ACA?

• President Obama

• President Bush

• President Clinton

• President Trump

Preventive services are less costly than treating a serious disease.

• True

• False

Beginning in 2014, all American citizens and permanent residents were required were required to have ______ ________ ________ (health insurance) or pay a tax penalty, monitored by the Internal Revenue Service (IRS). page 74
,

What is the term used for the requirement to pay part of the premium through Health Exchanges with federal subsidies?

• Medicaid expansion

• Shared responsibility for coverage

• Federally Qualified Health Centers

• Loan repayment programs

PART II OF II - ACA LEGAL CHALLENGES - When the case was brought to the Supreme Court in 2012, however, the individual mandate was upheld, but Medicaid expansion was ruled to be a violation of the ____________ of the United States of America. Therefore, the Supreme Court ruled that expansion of Medicaid by individual states was OPTIONAL.

What does the Small Business Health Options Program (SHOP) offer?

• group insurance plans for businesses with 1-50 employees.

• Loans for small business expansion.

• Tax filing services for small businesses.

• Training programs for new entrepreneurs.

As a result of the ACA, an estimated 20 million individuals gained health coverage between 2010 and 2016, lowering the percentage of the uninsured from nearly 18% to 10%.27 By 2018 the percentage of the uninsured had dropped to 8.5%, and only 5.5% of children under age 19 were uninsured.

• TRUE

• FALSE

Premium subsidies allowed consumers to purchase affordable health insurance through an advance premium tax credit for those with incomes between ____% and ____% of the federal poverty level (FPL) OR cost sharing reduction.

• 100% and 400%

• 50% and 200%

• 133% and 300%

• 200% and 500%

Accountable Care Organizations (ACOs) are a networks of physician offices, hospitals, long-term care, & other providers that agree to participate in the Hospital Readmission Reduction Program (HRRP). The Centers for Medicare & Medicaid Services (CMS) monitors quality and financial data from each ACO to determine if goals are being met.

Which of the following involve specific criteria related to ACOs?

• reward ACOs that reduce the rate of growth in healthcare spending while providing quality care

• reducing duplication of services & preventing medical errors

• ACOs are eligible for additional Medicare payment or bonuses for improving quality & reducing costs of patient care.

• ACOS that failed to meet the standard for quality and cost savings were financially responsible for the healthcare costs of patients instead of Medicare.

• ALL OF THE ABOVE