Cebs Gba 2 Exam Questions And Answers 2026

CEBS GBA 2 EXAM LATEST
All the following statements regarding the usual and customary rate
(UCR) used in health insurer reimbursement practices are correct
EXCEPT:


A.) An investigation by one large state alleged conflict of interest
between a major insurer and the entity responsible for managing the
database used to calculate UCR.
B.) An independent, nonprofit company has been established to manage
the database for computing UCR.
C.) More and more insurers are abandoning the traditional UCR pay
formulas.
D.) Changes involving the UCR have greatly decreased the amount of
balance billing.
E.) The use of the Medicare rate has increased recently. - ANSWERS-
D.) Changes involving the UCR have greatly decreased the amount of
balance billing.


The Health and Medicine Division (formerly known as Institute of
Medicine) promulgated six goals following the two landmark reports
that identified widespread quality problems within the U.S. healthcare
system. All the following are included among these six goals EXCEPT:


A.) Equity
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, CEBS GBA 2 EXAM LATEST
B.) Convertibility
C.) Timeliness
D.) Effectiveness
E.) Patient centeredness - ANSWERS-B.) Convertibility


All the following are advantages cited for noncontributory financing of
group-term life insurance EXCEPT:


A.) Greater control of plan by employer
B.) Economy of installation
C.) Greater employee interest
D.) Simplicity of administration
E.) Coverage of all eligible employees - ANSWERS-C.) Greater
employee interest


All the following statements regarding healthcare quality improvement
collaboratives (QICs) are correct EXCEPT:


A.) QICs are one of the more promising ways to help clinics and
medical groups to improve their quality.

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, CEBS GBA 2 EXAM LATEST
B.) The most well-known QICs are those short-term ones that have been
run for specific topics by the Institute for Healthcare Improvement (IHI).
C.) QICs are very expensive for participants and tend to attract mainly
large care delivery organizations or those paid for by the government.
D.) Enough separate QICs have been implemented in the U.S. that they
now have their own national association, the Network for Regional
Healthcare Improvement.
E.) The conclusion, in a systematic review of the evidence of the value
of QICs, was that QICs indeed provide significant value that can be
predicted with much certainty. - ANSWERS-E.) The conclusion, in a
systematic review of the evidence of the value of QICs, was that QICs
indeed provide significant value that can be predicted with much
certainty.


After extensive study and research, certain conclusions can be drawn
regarding the various approaches to achieve quality improvements in
health care. All the following statements concerning these conclusions
are correct EXCEPT:


A.) Performance measures, incentives and penalties focused on health
plans are not likely to be very successful in bringing about effective and
extensive quality improvement.
B.) External bodies have limited ability to foster the redesign of care
unless there is a change in the payment system.
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, CEBS GBA 2 EXAM LATEST
C.) Physicians and care delivery organizations must take a leading role
in any serious improvement in care and costs.
D.) Payment systems have little impact on quality improvements.
E.) Basing physician payments on the volume of services provided
neither incentivizes significant changes in care approach nor covers the
costs of making such changes. - ANSWERS-D.) Payment systems have
little impact on quality improvements.


All the following statements regarding the definition and features of a
"private health exchange" are correct EXCEPT:


A.) In general, private health exchanges involve web portals through
which employees can shop for health insurance.
B.) Private health exchanges often include advanced decision making
tools, such as benefit calculators.
C.) These exchanges are really a shopping experience.
D.) There is a lack of consensus on the defining characteristics of
private health exchanges.
E.) An exchange operator statutorily cannot vary plan offerings across
geographic regions. - ANSWERS-E.) An exchange operator statutorily
cannot vary plan offerings across geographic regions.



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