QUESTION T Note: The following question comes from Chapter 2 of the course textbook, Economics and Financial Management for Nurses and Nurse Leaders (3rd ed., 2017), by S. J. Penner and are edited for formatting. FFS is a volume-based payment system because: O A. Reimbursement is spread over the entire risk pool. O B. Reimbursement depends on utilization. O C. Reimbursement depends on deductibles. O D. All of the above O E. None of the above QUESTION 2 Note: The following question comes from Chapter 2 of the course textbook, Economics and Financial Management for Nurses and Nurse Leaders (3rd ed., 2017), by S. J. Penner and are edited for formatting It is legal for insurance companies to deny emergency room coverage based on the final diagnosis. O True O False QUESTION 3 Note: The following question comes from Chapter 2 of the course textbook, Economics and Financial Management for Nurses and Nurse Leaders (3rd ed., 2017), by S. J. Penner and are edited for formatting What is an important characteristic of asymmetric information in healthcare markets? O A. Physicians always know more about a patient's condition than the patient. O B. Patients always know more about their condition than the physician. O C. One party has knowledge that the other party does not. O D. All of the aboveQUESTION Note: The following question comes from Chapter 2 of the course textbook, Economics and Financial Management for Nurses and Nurse Leaders (3rd ed., 2017), by S. J. Penner and are edited for formatting. An example of cost shifting is: O A. Requiring health plan members to pay an annual premium O B. Dropping out of one health plan because another plan seems better O C. Charging private payers more to cover other unreimbursed costs O D. All of the above O E. None of the above QUESTION 8 Keith, K. (2018, January 25). Litigation update: Challenges to Kentucky's Medicaid waiver, cost-sharing reductions, and risk corridors [Blog post]. Retrieved from https://www.healt haffairs.org/do/10.1377/hblog20180125.91141/full/ In general, the percentage of people without healthcare coverage decreased as their age increased. O True O False QUESTION 9 Note: The following question comes from Chapter 2 of the course textbook, Economics and Financial Management for Nurses and Nurse Leaders (3rd ed., 2017), by S. J. Penner and are edited for formatting. Coinsurance represents the percent of health costs the insurer requires the consumer to pay, while: O A. A lifetime cap is required to control excessive costs. O B. A co-payment is another form of cost sharing. O C. Cost sharing is not a concern if the consumer is insured. O D. All of the aboveNote: The following question comes from Chapter 2 of the course textbook, Economics and Financial Management for Nurses and Nurse Leaders (3rd ed., 2017), by S. J. Penner and are edited for formatting Which of the following are not cost-sharing strategies? O A. Prospective payment O B. Specified limits of coverage O C. Coinsurance and copayment O D. All of the above O E. None of the above QUESTION 5 Keith, K. (2018, January 25). Litigation update: Challenges to Kentucky's Medicaid waiver, cost-sharing reductions, and risk corridors [Blog post]. Retrieved from https://www.healt haffairs.org/do/10.1377/hblog20180125.91141/full/ The Affordable Care Act used several programs to incentivize insurers to participate in new markets. One program known as the risk corridor program continues to be funded by the federal government with great success. O True O False QUESTION 6 Note: The following question comes from Chapter 2 of the course textbook, Economics and Financial Management for Nurses and Nurse Leaders (3rd ed., 2017), by S. J. Penner and are edited for formatting. The source of most healthcare reimbursement is: O A. The government O B. Out-of-pocket payments O C. Fee-for-service (FFS) systems O D. Private insurance
