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Per Cents
PPACA
Medicare
Medicaid
Ruggie Said
100
This dollar amount represents 100 percent FPL for a family of three in 2013.
What is $19,530?
100
The ACA expands coverage but does not make health care an explicit ___________.
What is "right"?
100
Name the four components of Medicare.
What are Part A: Hospital Care; Part B: Physician Services; Part C: Medicare Advantage (Managed Care); Part D. Prescription Drugs?
100
Medicaid covers this many low-income Americans.
What is more than 62 million?
100
These two states and one city established universal health care.
What are Massachusetts, Vermont, and San Francisco?
200
Under the ACA, the law will provide premium tax credits to people with family incomes between ____ percent and _____ percent of FPL to purchase non-group health insurance in the Marketplace.
What are 100 percent and 400 percent?
200
Name the two mandates under ACA.
What are individual and employer?
200
These 9 million dual eligible beneficiaries include which two groups?
What are low-income seniors and young people with disabilities?
200
Medicaid beneficiaries include these four primary groups.
What are pregnant women, children and families, people with disabilities, and poor Medicare recipients?
200
The number of people currently in the coverage gap.
What is 4.8 million?
300
The ACA-Medicaid expansion (for states that adopt) includes establishing eligibility for adults under age 65 with income at or below this % FPL.
What is 138 percent?
300
Name three groups exempt from the ACA individual mandate.
Who are those with financial hardship, religious objections, American Indians, those without medical coverage for less than three months, undocumented immigrants, incarcerated individuals, those for whom the least expensive plan is more than 8 percent of individual income, and those with incomes below the tax filing threshold?
300
Medicare covers these two specific diseases.
What are end-stage renal disease and Amyotrophic Lateral Sclerosis/Lou Gehrig's?
300
This percent of Medicaid spending is attributed to elderly disabled beneficiaries.
What is about two-thirds?
300
In 2015, the ACA will give states an increase CHIP match rate of this percent and up to a cap of 100 percent.
What is 23 percent?
400
Despite Medicaid and CHIP efforts, this many million children remain uninsured.
What is more than 7 million?
400
US citizens and legal immigrants with pre-existing conditions (who have been uninsured for more than six months) will be eligible to _______ and ________.
What is to enroll in high-risk pool and receive subsidized premiums?
400
These people are eligible for Medicare.
Who are those who have paid Medicare taxes (including dependent spouses and documented immigrants who have paid taxes) for at least 10 years and are 65 years or older?
400
State Medicaid program are required to cover these services (name at least three).
What are 1) in-patient and outpatient hospital services; 2) physician, midwife, and nurse practitioner services; 3) laboratory and x-ray services; 4) nursing facility and home health care for individuals ages 22+; 5) early and periodic screening, diagnosis, and treatment (EPSDT) for children under age 21; 6) family planning services and supplies; and 7) rural health clinic/federally qualified health care services?
400
In 2012, ________ percent of Medicaid beneficiaries were white while 20.7 percent of Medicaid beneficiaries were black.
What is 38.2 percent?
500
In 1999, the average annual contribution for single coverage for a worker was 12.6 percent. By 2013, this was the average annual percent contribution for workers.
What is 17 percent?
500
This is the penalty amount of the shared-responsibility requirement per worker (excluding the first 30 workers) for firms with more than 50 employees that do not offer health insurance.
What is $2,000 per worker?
500
Part of the ACA change, this is the difference in percent of taxed income in 2013 for individuals making more than $200,000 or married couples making more than $250,000 who file joint taxes.
What is .90 percent (2.35 percent subtracted by 1.45 percent)?
500
These are the three primary reasons some physicians do not accept Medicaid patients.
What are inadequate reimbursement, delayed reimbursement, and billing requirements?
500
This is the out-of-pocket per day co-pay for 21-100 days in a skilled nursing facility for a Medicare beneficiary. The beneficiary then covers all costs if beyond 100 days.
What is $152 per day?