Private Health Insurance & Managed Healthcare

What percentage of Americans under age 65 purchase private individual health care insurance?

• 5%

• 7%

• 10%

• 12%

Approximately how many persons in the US under age 65 are insured as part of an employer-sponsored insurance plan?

• 149 million

• 100 million

• 75 million

• 130 million

There is a strong correlation between having insurance and ______________ of health care.

• availability

• acceptability

• accessibility

• quality

The name of the hospital in the US that offered hospital care to a group of teachers on a prepaid basis in 1929.

• Baylor University Hospital

• John Hopkins University Hospital

• University of Colorado Hospital

• Yale-New Haven Hospital

What was the location of the hospital in the US that offered hospital care to a group of teachers on a prepaid basis in 1929?

• Dallas, Texas

• Houston, Texas

• Austin, Texas

• San Antonio, Texas

The name of the period in the US during which hospitals with empty beds and declining revenues were financially stabilized by insurance plans.

• The Great Depression

• The Industrial Revolution

• The Enlightenment Era

• The Renaissance Era

The introduction of health insurance during WWII saw health insurance coverage increase from ____% to _____%.

• 5, 50

• 2, 25

• 5, 25

• 2.5, 50

Actuarial analysis requires the estimation of which three expenses?

• cost for each type of service

• utilization rate

• administrative costs

• opportunity costs

The ___________ period is when employees decide to take advantage of the health insurance benefit being offered by employers.

• enrollment

• retirement

• disability

• performance review

The clause that determines which third party pays for services.

• Coordination of Benefits clause

• Clarification of Benefits clause

• Corresponding Benefits clause

• Collaborative Party Benefits clause