HFMA FINAL SCRIPT 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉Medicaid. Answer: There is an insurance program for the poor and
medically needy that is operated as a joint program between the
federal government CMS and the individual states known as
Medicaid
◉Provider networks. Answer: Provider networks are groups of
selected providers and contracted with insurer as "preferred" or "in-
network" by the insurer. Under this relationship, the insurer will pay
a higher proportion of the patient's costs of care in exchange for the
patient going to the "in-network" provider
◉Value-based purchasing. Answer: Medicare's Value Based
Purchasing (VBP) program as a part of the Patient Protection and
Affordable Care Act (PPACA) can reduce payments to providers that
do not meet or exceed their standards of quality care. VBP is but one
change brought about through the PPACA
◉Patient Protections and Affordable Care Act (PPACA). Answer:
Ultimately these multiple perspective on health reform influenced
the current provisions of PPACA. Much of the reform effort
,ultimately was aimed at reforming health insurance markets where
major changes were applied to the way that health insurers
operated with some changes to influence more persons to get access
to health insurance coverage
◉Medical Loss Ratio. Answer: Insurance plans were required to
spend a minimum amount of collected revenues to pay for medical
care of patients called _______
◉the individual mandate. Answer: the _______ was a change to
require individuals without employer-provided insurance to
purchase health insurance through health insurance exchanges in
each state or face tax penalties
◉the employer mandate. Answer: the ________ was a provision of
PPACA where employers with more than 50 employees to make
health insurance benefits available to employees
◉insurance exchange. Answer: state run health insurance markets
designed to make health insurance affordable and broadly available
◉accountable care organization ACO. Answer: _________ are various
providers of care to work together to manage the healthcare of a
select population of patients and to receive financial benefit from
reducing the cost of care while improving the quality of care for
those patients-i.e. population health
, ◉bundled payments. Answer: related to the ACO was the addition of
bundled payments to groups of providers for a single occasion of
service to a specified patient
◉Value-Based Purchasing. Answer: _____ or Pay for Performance P4P.
___ places a portion of the payments to the provider at risk of loss if
specified quality objectives are not met or exceeded.
◉double entry system. Answer: where there are two sides to every
transaction and the two sides must always be equal (or "in balance")
◉asset. Answer: what you have or are owed
◉liability. Answer: what you owe
◉net asset or equity. Answer: what you get to keep
◉accounting identity. Answer: the _____ can be expressed in a simple
mathematical formula as:
assets = liabilities + net assets OR
assets = liabilities + equity
WITH ANSWERS GRADED A+
◉Medicaid. Answer: There is an insurance program for the poor and
medically needy that is operated as a joint program between the
federal government CMS and the individual states known as
Medicaid
◉Provider networks. Answer: Provider networks are groups of
selected providers and contracted with insurer as "preferred" or "in-
network" by the insurer. Under this relationship, the insurer will pay
a higher proportion of the patient's costs of care in exchange for the
patient going to the "in-network" provider
◉Value-based purchasing. Answer: Medicare's Value Based
Purchasing (VBP) program as a part of the Patient Protection and
Affordable Care Act (PPACA) can reduce payments to providers that
do not meet or exceed their standards of quality care. VBP is but one
change brought about through the PPACA
◉Patient Protections and Affordable Care Act (PPACA). Answer:
Ultimately these multiple perspective on health reform influenced
the current provisions of PPACA. Much of the reform effort
,ultimately was aimed at reforming health insurance markets where
major changes were applied to the way that health insurers
operated with some changes to influence more persons to get access
to health insurance coverage
◉Medical Loss Ratio. Answer: Insurance plans were required to
spend a minimum amount of collected revenues to pay for medical
care of patients called _______
◉the individual mandate. Answer: the _______ was a change to
require individuals without employer-provided insurance to
purchase health insurance through health insurance exchanges in
each state or face tax penalties
◉the employer mandate. Answer: the ________ was a provision of
PPACA where employers with more than 50 employees to make
health insurance benefits available to employees
◉insurance exchange. Answer: state run health insurance markets
designed to make health insurance affordable and broadly available
◉accountable care organization ACO. Answer: _________ are various
providers of care to work together to manage the healthcare of a
select population of patients and to receive financial benefit from
reducing the cost of care while improving the quality of care for
those patients-i.e. population health
, ◉bundled payments. Answer: related to the ACO was the addition of
bundled payments to groups of providers for a single occasion of
service to a specified patient
◉Value-Based Purchasing. Answer: _____ or Pay for Performance P4P.
___ places a portion of the payments to the provider at risk of loss if
specified quality objectives are not met or exceeded.
◉double entry system. Answer: where there are two sides to every
transaction and the two sides must always be equal (or "in balance")
◉asset. Answer: what you have or are owed
◉liability. Answer: what you owe
◉net asset or equity. Answer: what you get to keep
◉accounting identity. Answer: the _____ can be expressed in a simple
mathematical formula as:
assets = liabilities + net assets OR
assets = liabilities + equity
