The Affordable Care Act (ACA) is also commonly known as:
a) Medicaid Act
b) Obamacare
c) Medicare for All
d) Health Insurance Reform Act
Answer: b
The ACA was signed into law by which U.S. President?
a) George W. Bush
b) Barack Obama
c) Donald Trump
d) Joe Biden
Answer: b
The primary goal of the ACA was to:
a) Privatize healthcare
b) Expand Medicaid to all states
c) Provide affordable health insurance coverage
d) Abolish private health insurance
Answer: c
The ACA established Health Insurance Marketplaces, also known as:
a) Health Exchanges
b) Insurance Bazaars
c) Medicaid Outlets
d) Coverage Malls
Answer: a
The ACA requires most Americans to have health insurance or pay a penalty, which is often referred to as:
a) Health Tax
b) Individual Mandate
c) Insurance Fee
d) Healthcare Duty
Answer: b
The expansion of Medicaid eligibility under the ACA aimed to cover:
a) Only children and pregnant women
b) Low-income adults with children
c) Only the elderly population
d) High-income individuals
Answer: b
Young adults can stay on their parents’ health insurance plans until the age of:
a) 18
b) 21
c) 25
d) 30
Answer: c
The ACA prohibits insurance companies from denying coverage or charging higher premiums based on:
a) Age and gender
b) Pre-existing conditions
c) Income level
d) Occupation
Answer: b
The ACA established a federal agency responsible for overseeing the Health Insurance Marketplaces, called:
a) Health and Human Services (HHS)
b) Centers for Disease Control and Prevention (CDC)
c) Food and Drug Administration (FDA)
d) Centers for Medicare and Medicaid Services (CMS)
Answer: d
The ACA introduced a set of essential health benefits that insurance plans must cover, including all of the following EXCEPT:
a) Prescription drugs
b) Mental health and substance use disorder services
c) Pediatric dental and vision care
d) Cosmetic surgery
Answer: d
The ACA aimed to close the “Medicare Part D donut hole,” which refers to:
a) A coverage gap in prescription drug costs for seniors
b) A gap in Medicaid coverage for children
c) A deficiency in Medicare’s hospital coverage
d) A gap in emergency medical coverage
Answer: a
The ACA introduced measures to promote preventive care by requiring insurance plans to cover certain preventive services without:
a) Any co-payments or deductibles
b) Prior authorization from a doctor
c) In-network restrictions
d) Limitations on the number of visits
Answer: a
The ACA established the Center for Medicare and Medicaid Innovation (CMS Innovation Center) to:
a) Limit Medicaid coverage
b) Improve Medicare billing procedures
c) Develop and test innovative healthcare payment and service delivery models
d) Privatize Medicare and Medicaid programs
Answer: c
The ACA included provisions to create Accountable Care Organizations (ACOs), which aim to:
a) Decrease patient access to healthcare services
b) Increase the cost of medical procedures
c) Improve coordination and quality of care while lowering costs
d) Provide free healthcare to all Americans
Answer: c
The ACA established a requirement that insurance plans spend a certain percentage of premium dollars on healthcare services and quality improvement, known as the:
a) Medical Loss Ratio (MLR)
b) Premium Affordability Threshold
c) Administrative Expense Limit
d) Cost Sharing Reduction
Answer: a
The Supreme Court case that upheld the constitutionality of most provisions of the ACA, including the individual mandate, was:
a) Roe v. Wade
b) Citizens United v. FEC
c) National Federation of Independent Business v. Sebelius
d) Bush v. Gore
Answer: c
The ACA created the Prevention and Public Health Fund to support various public health initiatives, such as:
a) Funding medical research
b) Providing free healthcare to low-income individuals
c) Improving access to affordable prescription drugs
d) Preventing chronic diseases and promoting wellness
Answer: d
The ACA established a program that provides financial incentives to healthcare providers who demonstrate meaningful use of electronic health records, known as the:
a) Health Information Exchange Program
b) Electronic Health Records Incentive Program
c) Telemedicine and Remote Care Program
d) Health IT Innovation Fund
Answer: b
The ACA aimed to improve care coordination and reduce hospital readmissions through the implementation of:
a) Telemedicine services
b) Home-based care only
c) Hospital Emergency Response Teams
d) Hospital Readmissions Reduction Program
Answer: d
The ACA introduced the Medical Device Excise Tax, which applies to the sale of certain medical devices. This tax helps fund:
a) Medicaid expansion
b) Health Insurance Marketplaces
c) The Children’s Health Insurance Program (CHIP)
d) Medical research
Answer: b
The ACA expanded Medicaid eligibility to include individuals with incomes up to:
a) 100% of the federal poverty level (FPL)
b) 138% of the FPL
c) 200% of the FPL
d) 250% of the FPL
Answer: b
The ACA aimed to improve the quality of care and patient safety by implementing value-based purchasing programs for:
a) Prescription drugs
b) Hospitals and healthcare providers
c) Health Insurance Marketplaces
d) Medical devices
Answer: b
The ACA created the Independent Payment Advisory Board (IPAB), tasked with controlling healthcare costs by recommending:
a) Increasing Medicare benefits
b) Limiting access to healthcare services
c) Reducing provider payments
d) Expanding Medicaid coverage
Answer: c
The ACA introduced the “Cadillac Tax,” which would have imposed an excise tax on high-cost employer-sponsored health insurance plans. However, this tax was later:
a) Implemented and proved successful
b) Repealed before taking effect
c) Increased to generate more revenue
d) Transformed into a direct premium tax
Answer: b
The ACA extended health coverage to individuals with pre-existing conditions by:
a) Allowing insurance companies to charge higher premiums
b) Creating high-risk pools for these individuals
c) Requiring insurance companies to offer coverage at the same premium rates
d) Requiring individuals with pre-existing conditions to pay an additional fee
Answer: c
The ACA aimed to reduce the growth of healthcare spending by promoting alternative payment models, such as:
a) Fee-for-service reimbursement
b) Capitation
c) Increased hospital readmissions
d) Unrestricted prescription drug coverage
Answer: b
The ACA established a “marketplace” where individuals and families could compare and purchase health insurance plans, often referred to as:
a) Medicare Exchange
b) Medicaid Market
c) Insurance Bazaar
d) Health Insurance Exchange
Answer: d
The ACA introduced cost-sharing reductions (CSR) to help lower-income individuals with out-of-pocket costs, such as:
a) Prescription drug prices
b) Deductibles and copayments
c) Premium payments
d) Preventive care expenses
Answer: b
The ACA aimed to improve the health and wellness of individuals through initiatives such as community health worker programs and increased support for:
a) Tobacco companies
b) Mental health services
c) Cosmetic surgery procedures
d) Wellness retreats
Answer: b
The ACA requires insurance plans to cover certain preventive services for women without charging:
a) Any premiums
b) Co-payments or deductibles
c) Higher premiums for men
d) Annual fees
Answer: b
The ACA created the Patient-Centered Outcomes Research Institute (PCORI), which focuses on:
a) Providing funding for medical device research
b) Enhancing the quality and relevance of medical research
c) Promoting wellness programs for patients
d) Investigating healthcare fraud and abuse
Answer: b
The ACA aimed to improve the health of the population by implementing measures to prevent:
a) Access to affordable healthcare
b) Chronic diseases
c) Preventive care services
d) Prescription drug prices
Answer: b
The ACA introduced the Small Business Health Options Program (SHOP) Marketplace to help small businesses provide health insurance options for their:
a) Customers
b) Employees
c) Vendors
d) Shareholders
Answer: b
The ACA established a Medical Loss Ratio (MLR) requirement, which stipulates that insurance companies must spend a certain percentage of premium revenue on:
a) Administrative expenses
b) Marketing and advertising
c) Executive salaries
d) Healthcare services and quality improvement
Answer: d
The ACA aimed to improve the health and well-being of children by requiring insurance plans to cover pediatric dental and vision care as part of the:
a) Essential Health Benefits
b) Premium Affordability Threshold
c) Catastrophic Coverage Package
d) Wellness and Prevention Package
Answer: a
The ACA aimed to address health disparities by improving access to care for vulnerable populations, such as racial and ethnic minorities, through initiatives like:
a) Increasing insurance premiums for vulnerable populations
b) Expanding Medicaid only in certain states
c) Eliminating all out-of-pocket expenses
d) Culturally and linguistically appropriate services
Answer: d
The ACA established the Essential Health Benefits (EHB) package, which includes coverage for services such as hospitalization, prescription drugs, preventive care, and:
a) Elective cosmetic surgery
b) Alternative medicine treatments
c) Fertility treatments
d) Mental health and substance use disorder services
Answer: d
The ACA introduced the “Three Rs” programs, including Risk Adjustment, Reinsurance, and:
a) Refund
b) Rebate
c) Risk Corridor
d) Reimbursement
Answer: c
The ACA expanded coverage for preventive services by requiring insurance plans to cover recommended preventive services without:
a) Prior authorization
b) Physician referral
c) Co-payments or deductibles
d) Network restrictions
Answer: c
The ACA aimed to improve access to healthcare services by increasing the number of primary care providers and investing in:
a) Reducing medical school enrollment
b) Medical research only
c) Healthcare workforce training and development
d) Cosmetic surgery centers
Answer: c
The ACA created the Center for Medicare and Medicaid Innovation (CMS Innovation Center) to test and implement innovative payment and service delivery models that:
a) Limit access to healthcare
b) Increase healthcare costs
c) Improve quality of care and reduce costs
d) Privatize Medicaid
Answer: c
The ACA aimed to reduce healthcare costs by promoting the use of generic drugs and prohibiting brand-name drug manufacturers from:
a) Participating in the Medicare program
b) Offering discounts to seniors
c) Charging excessive prices
d) Advertising prescription drugs
Answer: c
The ACA introduced the Health Home program, which aims to coordinate care for individuals with chronic conditions, such as:
a) Skin rashes
b) Diabetes and asthma
c) Colds and flu
d) Broken bones
Answer: b
The ACA aimed to improve healthcare quality and safety by providing financial incentives to hospitals that meet certain performance measures, known as:
a) Value-based purchasing
b) Fee-for-service reimbursement
c) Capitation payments
d) Health Outcome Rewards
Answer: a
The ACA established the Community First Choice Option, which provides enhanced federal Medicaid matching funds to support home and community-based services for:
a) Seniors only
b) Children only
c) Disabled individuals
d) Military veterans
Answer: c
The ACA aimed to reduce administrative costs and improve the efficiency of healthcare delivery by encouraging the use of:
a) Electronic health records
b) Paper-based medical records
c) Fax machines for communication
d) Private healthcare exchanges
Answer: a
The ACA introduced the Hospital Readmissions Reduction Program, which penalizes hospitals with high rates of readmissions for:
a) Chronic diseases only
b) Preventable conditions only
c) Any medical condition
d) Mental health disorders only
Answer: b
The ACA aimed to promote wellness and prevention by requiring insurance plans to cover certain preventive services, screenings, and vaccinations without:
a) Prior authorization
b) Co-payments or deductibles
c) Prescription from a doctor
d) Approval from the state government
Answer: b
The ACA established a competitive grant program to fund initiatives that focus on improving the health of populations in specific geographic areas, known as:
a) Healthy Neighborhoods Program
b) Population Health Improvement Program
c) Community Transformation Grants
d) Public Health Innovation Fund
Answer: c
The ACA aimed to improve the coordination of care and reduce unnecessary hospital admissions through the implementation of:
a) Health Information Exchange networks
b) Telemedicine only
c) Accountable Care Organizations (ACOs)
d) Private healthcare plans
Answer: c
