MHA 708 EXAM C LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
What percent of the money for US healthcare comes from private
insurance?
32%
What percent of the money for US healthcare comes from
government payors?
40%
(medicare 21%, medicaid 16%, other 3%)
What percent of the money for US healthcare comes from OOP?
11%
What percent of the money spent in healthcare goes to hospitals?
31%
What percent of the money spent in healthcare goes to physicians?
20%
What percent of the money spent in healthcare goes to pharma?
10%
What percent of the money spent in healthcare goes to nursing
homes/home health?
9%
END OF
PAGE
1
, MHA 708 EXAM C LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
What factors in America contribute to high healthcare costs?
- Emphasis on curing disease rather than maintaining wellness (reactive)
- Extensive use of technology in delivering healthcare
- Inefficiency of a multiple third-party payer system
- Increase in the elderly population and accompanying chronic illness
(demographic shift)
- Waste and abuse within the system, resulting in part from practice
variations across geographic areas (who's at fault?)
- General inflation
- Practice of defensive medicine
- PRICE is #1 driver of HC cost
_______ is #1 driver of HC cost
Price
_______ is a health care company. It is often called a "health plan."
It is a group of doctors, hospitals and other providers who work
together to meet your health care needs.
MCO (managed care org)
HMO
Health Maintenance Organization
- a network of doctors, hospitals and other providers who agree to
provide care at a reduced rate
END OF
PAGE
2
, MHA 708 EXAM C LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
- HMOs may require you to select a pcp
- HMO plan will only pay for care from healthcare providers in the
HMO network, except for emergency care, which may be covered out of
network.
- HMO plans are generally less expensive than PPO plans, with lower
monthly payments
PPO
Preferred Provider Organization
- a network of doctors, hospitals and healthcare providers who agree to
provide care at a certain rate
- you are not limited to providers who are in network, though your
copay or out-of-pocket cost for out-of-network visits may be higher than
for in-network providers
- PPO plans typically require higher monthly payments in exchange for
increased flexibility.
- you do not need to maintain a primary care physician and can see a
different doctor of your choice at any time, including specialists
Almost all private insurance has some ________________________
managed care feature
_______ assume financial risk and deliver care
END OF
PAGE
3
, MHA 708 EXAM C LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
MCOs
Who is typically covered by Medicare, and how many beneficiares
were there in 2020?
65 million benes
covers:
- 65+
- any age with disabilities who are eligible for social security benefits
- widows & orphan benefits
- dialysis pts
Part A covers, is financed by
covers inpatient healthcare & some outpatient
financed by mandatory payroll tax
no monthly premium to enrollees
Part B covers
physicians services & outpatient care not covered by part a
enrollees do have a monthly premium
Part C
END OF
PAGE
4
QUESTIONS AND
ANSWERS 2026 - 2027
What percent of the money for US healthcare comes from private
insurance?
32%
What percent of the money for US healthcare comes from
government payors?
40%
(medicare 21%, medicaid 16%, other 3%)
What percent of the money for US healthcare comes from OOP?
11%
What percent of the money spent in healthcare goes to hospitals?
31%
What percent of the money spent in healthcare goes to physicians?
20%
What percent of the money spent in healthcare goes to pharma?
10%
What percent of the money spent in healthcare goes to nursing
homes/home health?
9%
END OF
PAGE
1
, MHA 708 EXAM C LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
What factors in America contribute to high healthcare costs?
- Emphasis on curing disease rather than maintaining wellness (reactive)
- Extensive use of technology in delivering healthcare
- Inefficiency of a multiple third-party payer system
- Increase in the elderly population and accompanying chronic illness
(demographic shift)
- Waste and abuse within the system, resulting in part from practice
variations across geographic areas (who's at fault?)
- General inflation
- Practice of defensive medicine
- PRICE is #1 driver of HC cost
_______ is #1 driver of HC cost
Price
_______ is a health care company. It is often called a "health plan."
It is a group of doctors, hospitals and other providers who work
together to meet your health care needs.
MCO (managed care org)
HMO
Health Maintenance Organization
- a network of doctors, hospitals and other providers who agree to
provide care at a reduced rate
END OF
PAGE
2
, MHA 708 EXAM C LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
- HMOs may require you to select a pcp
- HMO plan will only pay for care from healthcare providers in the
HMO network, except for emergency care, which may be covered out of
network.
- HMO plans are generally less expensive than PPO plans, with lower
monthly payments
PPO
Preferred Provider Organization
- a network of doctors, hospitals and healthcare providers who agree to
provide care at a certain rate
- you are not limited to providers who are in network, though your
copay or out-of-pocket cost for out-of-network visits may be higher than
for in-network providers
- PPO plans typically require higher monthly payments in exchange for
increased flexibility.
- you do not need to maintain a primary care physician and can see a
different doctor of your choice at any time, including specialists
Almost all private insurance has some ________________________
managed care feature
_______ assume financial risk and deliver care
END OF
PAGE
3
, MHA 708 EXAM C LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
MCOs
Who is typically covered by Medicare, and how many beneficiares
were there in 2020?
65 million benes
covers:
- 65+
- any age with disabilities who are eligible for social security benefits
- widows & orphan benefits
- dialysis pts
Part A covers, is financed by
covers inpatient healthcare & some outpatient
financed by mandatory payroll tax
no monthly premium to enrollees
Part B covers
physicians services & outpatient care not covered by part a
enrollees do have a monthly premium
Part C
END OF
PAGE
4
