Chapter 3 Review

In what year was the legislation for Medicare and Medicaid approved?

• 1965

• 1970

• 1985

• 1990

Who is primarily covered by Medicare?

• Individuals 65 years and older

• Low-income children

• Pregnant women

• Adults with disabilities

Which act expanded Medicaid to include low-income adults?

• Affordable Care Act

• Social Security Act

• Health Insurance Portability and Accountability Act

• Patient Protection Act

Which programs are administered by CMS?

• Medicare, Medicaid, CHIP, and the Marketplace

• Medicare, Social Security, CHIP, and the Marketplace

• Medicaid, Social Security, CHIP, and the Marketplace

• Medicare, Medicaid, Social Security, and CHIP

What percentage of Medicaid services are for family planning (Pregnancy...) and special health care needs?

• 50%

• 25%

• 75%

• 10%

What type of disabilities does Medicaid cover for adults?

• Physical and developmental disabilities

• Only physical disabilities

• Only mental disabilities

• Only developmental disabilities

Which group is not directly covered by Medicaid?

• Employed adults with employer-based insurance

• Low-income children

• Pregnant women

• Adults with serious mental illness

What was the traditional method of paying providers for health services up until the 1970s?

• Capitation

• Fee-for-service

• Subscription

• Lump sum

What do Managed Care Organizations (MCOs) use to control healthcare costs?

• Fee-for-service

• Capitation

• Donations

• Grants

Which organizations were developed in the 1930s for prepaid private health insurance for physician services?

• Medicare and Medicaid

• Blue Cross and Blue Shield

• HMO and PPO

• CHIP and Marketplace