Which of the following is not a federal law affecting health insurance, benefits plans, or HMOs:
a. ERISA
b. HIPAA
c. COBRA
d. ACA
e. CSNY
ANSWER.
e) CSNY (Crosby,Stills,Nash and Young) is a folk rock group and not a federal law
affecting health insurance,benefit plans or HMOs.
Which of the following is not a federal law affecting health insurance, benefits plans, or HMOs:...
Federal preemptions under ERISA, HIPPA, and /or the ACA apply to all but which of the following? a. Insured Health plans and HMO's b. Self-funded health benefits plans c. Provider payment d. Appeal and Grievance Rights e. Health care privacy rights f. Electronic transactions and code sets
Which of the following federal agencies is not involved in regulating health benefits plans? a. Department of health and human services b. Department of homeland Security c. Department of Defense d. Department of Labor e.Department of Interior f. Department of the Treasury g. Department of Justice
Chapter 20 explains how several federal and state law mandates have impacted coverage and benefit options in the commercial health insurance arena (such as ACA, and HIPAA). Select one of the federal state laws that are described in this chapter and detail the law and how this law impacts coverage through employer sponsored health plans.
which of the following is not a key function of state regulation affecting health insurers and HMO's? a. Licensure of insurers, HMOs and producers b. Plan compliance with Medicare Advantage network adequacy requirements c. Premium review and approval d. consumer protections e. financial solvency f. Market Conduct
Third-party payers are covered by both state and federal regulations. Two of the federalregulations are: Select one: O A. COBRA and PPO. ов. ERICA and HIPAA OC. ERISA and HIPAA OD. COBRA and EPO. All of the following are examples of locations where long-term care could take place EXCEPT: Select one: O A. Hospitals f 1 O B. Rehabilitation centers O C. Adult day care D. Clinics pe here to search
Under _______________ plan Employees choose among competing plans, such as HMOs, PPOs, and CDHPs. A. Single-Payer National Health Insurance B. Managed Competition C. Market-Based Alternatives D. Mandated Insurance Coverage
The Medicare Part C program: Enables beneficiaries to enroll in risk-based health plans such as HMOs and PPOs. Uses the Bretton-Woods RVRBS formula to reimburse physicians. Was created under TEFRA to provide health insurance for the working indigent. Provides a prescription drug benefit for Medicare beneficiaries.
Answer the following questions relative to employer-financed medical and health, disability, and life insurance plans. a. May employers deduct premiums paid on employee insurance? b. Do employees have to include such premiums in gross income? c. Are benefits paid to the employee included in the employee's gross income? a. May employers deduct premiums paid on employee insurance? Employers deduct the cost of premiums paid on medical, health, disability and life insurance coverage for employees. b. Do emplo ude such premiums...
QUESTION 1 Proponents of universal health insurance coverage prefer the _______ system national insurance program. QUESTION 3 Which of the following are concerns that must be addressed when developing and implementing policies to reform the healthcare system? A. Quality of care B. Access to care C. Demand of care O D. Costs of care QUESTION 4 Which of the following are alternative strategies routinely proposed at the federal and state levels to increase financial access to health care? A. Market incentives B. Mandated insurance coverage C. Social welfare...
Which of the following is a development undertaken by HMOs since the 1990s? Select all that apply. a. Building hospitals b. Accepting Veterans Affairs (VA) patient C. Introducing point-of-service plans (POS) d. Expanding health promotion programs