Full Test Bank Chapter 2 —How We Got Here U.S. Health Policy

Chapter 2—How We Got Here: U.S. Health Policy History

Multiple Choice

1. The history of U.S. health policy has its beginnings with:

[1] Federal medical licensing laws

[2] State medical licensing laws

[3] Federal hospital licensing laws

[4] State hospital licensing laws

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. The first healthcare legislation at the federal level and be signed into law by the President was:

[1] The Bill for the Benefit of the Indigent Insane

[2] The Sickness Insurance Law

[3] The Accident Insurance Law

[4] The Sheppard-Towner Act

[5] None of the above

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Sickness funds:

[1] Established in 1950, were the first organized health plan, and cost 50¢ per month.

[2] Established in 1860 to 1920, were the first organized health plan, and cost 50¢ per month.

[3] Established in 1860 to 1920, were disability insurance, and cost 50¢ per month.

[4] Established in 1950, were designed for physician payment, and cost 50¢ per month.

[5] All of the above

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. The events culminating in the employee tax exemption for medical insurance include:

[1] Post WWI wage and price freeze, 1929 Supreme Court decision to allow benefits as part of labor negotiations, and 1934 tax code change providing for employer tax exemption of medical insurance.

[2] Post Korean conflict wage and price freeze, 1959 Supreme Court decision to allow benefits as part of labor negotiations, and 1964 tax code change providing for employer tax exemption of medical insurance.

[3] Post WWII wage and price freeze, 1949 Supreme Court decision to allow benefits as part of labor negotiations, and 1954 tax code change providing for employer tax exemption of medical insurance.

[4] Post-Vietnam conflict wage and price freeze, 1969 Supreme Court decision to allow benefits as part of labor negotiations, and 1974 tax code change providing for employer tax exemption of medical insurance.

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Major federal healthcare legislation since 1900 addressing access to healthcare services includes:

[1] Medicare, Medicaid, and the Patient Protection and Affordable Care Act

[2] Medicare, Medicaid, and the Prospective Payment legislation.

[3] Medicare, Medicaid, and the Health Security Plan

[4] Medicare, Medicaid, and ERISA

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Major healthcare legislation since 1900 addressing cost of healthcare services includes:

[1] The HMO Act, the Prospective Payment legislation, and HIPAA

[2] The Prospective Payment legislation, the Patient Protection and Affordable Care Act, and ERISA

[3] The Patient Protection and Affordable Care Act, ERISA, and HITECH

[4] The Prospective Payment legislation, ERISA, and HITECH

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Major provisions of the Patient Protection and Affordable Care Act include:

[1] HITECH, dependent coverage up to age 26 years, health insurance exchanges, accountable care organizations

[2] Dependent coverage up to age 26 years, health insurance exchange, ten health plan requirements, and a set of actuarial values for consumers to choose from

[3] Dependent coverage up to age 26 years, health insurance exchange, HITECH, and HIPAA

[4] Dependent coverage up to age 26 years, health insurance exchange, expansion of Medicare, and HITECH

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Federal government physician payment models have included:

[1] Physician fee schedule, RBRVS, COBRA, & ERISA

[2] Physician fee schedule, Medicare Volume Performance Standard, Sustainable Growth Rate, & MACRA

[3] SGR, MVP, ACO, & COBRA

[4] Physician fee schedule, SGR, ERISA, & MACRA

Subject: Chapter 2

Complexity: Difficult

Simplified Functional Taxonomy: Recall

1. Major health legislation passed by Congress since 2010 includes

[1] The American Health Care Act

[2] The Health Care Freedom Act

[3] Repealing the tax penalty for not possessing health insurance

[4] 21st Century Cures Act

[5] 3. & 4.

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. The 21st Century Cures Act addresses which of the following:

[1] Research funding, leadership, and reporting requirements

[2] Mental health programs, payment, and access

[3] Gerontological health programs, payment, and access

[4] Medicare and Medicaid access, continuation of services, and payment

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Common forms of governance include:

[1] Unitary

[2] Confederation

[3] Feudalism

[4] Federalism

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

True/False

1. Original Medicare Part B payment was based on usual, customary, and reasonable charges.

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. By the mid-1990s, Medicare Part B payments had become the largest domestic program funded through general revenues.

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. In 1787, the U.S. Congress approved a Constitutional Convention to address the weakness of the Articles of Confederation by development of a new Constitution.

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. While the Constitution and Bill of Rights balances federal and state responsibilities, there is a level of ambiguity to these responsibilities that allows this balance to adapt to different times and situations.

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

Short Answer & Essay

1. Discuss how the eras of federalism link to the development and passage of healthcare legislation.

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Analysis

1. Discuss how health policy has evolved in the United States.

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall

1. Discuss the evolution of physician payment by the federal government.

Subject: Chapter 2

Complexity: Moderate

Simplified Functional Taxonomy: Recall