CSBI HFMA FINAL EXAM SCRIPT 2026
QUESTIONS AND CORRECT ANSWERS
◉ Economic Factors
Answer: general economy, consumer sentiments and demand
elasticity, economic development, demand elasticity by service,
labor market/union strength, employer strength, demand elasticity,
market liquidity
◉ Social Values
Answer: Diversity, social cohesion, established precedents, religious
preferences
◉ Global Influences
Answer: Immigration, vacation travel, tourism, epidemics, terrorism,
demands for equity in medication distribution
◉ Population Characteristics
Answer: demographics - education level, age; socio-economics
morbidity related to ethnic and gender gaps, social morbidity, social
determinants of health
◉ Political Climate
,Answer: elected officials, current party dominance, social healthcare
policy, interest groups
◉ Technology development
Answer: engineering science, information science, applied
mathematics, IoT coverage and access
◉ Physical Environment
Answer: Pollution, sanitation, workplaces, neighborhoods
◉ What are the challenging areas of healthcare continuum of care?
Answer: 1-Lack of Coordination
2-Healthcare Users on their own
3-Service Coordination
◉ What are the types of service on health continuum?
Answer: 1-Well - preventative care, primary care
2-At Risk - acute care
3-At risk mild - specialty care
4-Early Chronic - chronic care
5-Late Chronic - long-term care
6-Terminal - end of life care
, ◉ Supply Sensitive Care - a driver of utilization
Answer: Care decisions are strongly influenced by capacity, rather
than medical evidence or severity of illness. Decisions depend on the
number of available hospital beds, clinics, CT scanners, doctors.. Also
based on competition, supplier promotional efforts and influences in
supply variations impacting cost of care delivered.
◉ Preference Sensitive Care - a driver of utilization
Answer: Care selection and selection frequency driven in large
measure by the physician opinion.
◉ What are misalignment with healthcare user and hospitals?
Answer: 1-focus on cost
2-drivers of service utilization
3-financing mechanism
◉ What are the Foundational Ideas for Change?
Answer: 1 - Triple Aim
2 - Transparency in cost - gave way to Meaningful Use and now
Promoting Interoperability
3 - Understand Production Cost - gave way to Activity Based Costing
(ABC type analysis)
4- Community Based Services
QUESTIONS AND CORRECT ANSWERS
◉ Economic Factors
Answer: general economy, consumer sentiments and demand
elasticity, economic development, demand elasticity by service,
labor market/union strength, employer strength, demand elasticity,
market liquidity
◉ Social Values
Answer: Diversity, social cohesion, established precedents, religious
preferences
◉ Global Influences
Answer: Immigration, vacation travel, tourism, epidemics, terrorism,
demands for equity in medication distribution
◉ Population Characteristics
Answer: demographics - education level, age; socio-economics
morbidity related to ethnic and gender gaps, social morbidity, social
determinants of health
◉ Political Climate
,Answer: elected officials, current party dominance, social healthcare
policy, interest groups
◉ Technology development
Answer: engineering science, information science, applied
mathematics, IoT coverage and access
◉ Physical Environment
Answer: Pollution, sanitation, workplaces, neighborhoods
◉ What are the challenging areas of healthcare continuum of care?
Answer: 1-Lack of Coordination
2-Healthcare Users on their own
3-Service Coordination
◉ What are the types of service on health continuum?
Answer: 1-Well - preventative care, primary care
2-At Risk - acute care
3-At risk mild - specialty care
4-Early Chronic - chronic care
5-Late Chronic - long-term care
6-Terminal - end of life care
, ◉ Supply Sensitive Care - a driver of utilization
Answer: Care decisions are strongly influenced by capacity, rather
than medical evidence or severity of illness. Decisions depend on the
number of available hospital beds, clinics, CT scanners, doctors.. Also
based on competition, supplier promotional efforts and influences in
supply variations impacting cost of care delivered.
◉ Preference Sensitive Care - a driver of utilization
Answer: Care selection and selection frequency driven in large
measure by the physician opinion.
◉ What are misalignment with healthcare user and hospitals?
Answer: 1-focus on cost
2-drivers of service utilization
3-financing mechanism
◉ What are the Foundational Ideas for Change?
Answer: 1 - Triple Aim
2 - Transparency in cost - gave way to Meaningful Use and now
Promoting Interoperability
3 - Understand Production Cost - gave way to Activity Based Costing
(ABC type analysis)
4- Community Based Services
