The US Health Care System
Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: Which historical legislation established Medicare
and Medicaid programs in the United States?
A. Social Security Act of 1935
B. Affordable Care Act of 2010
C. Health Maintenance Organization Act of 1973
D. Social Security Amendments of 1965
ANS: D
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, Rationale: The Social Security Amendments of 1965 created
Medicare and Medicaid to provide healthcare coverage for seniors
and low-income individuals.
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2. Fill-in-the-Blank
Question: The shift from a fee-for-service model to value-
based care in the U.S. healthcare system primarily focuses on
improving ____________ while reducing costs.
ANS: patient outcomes
Rationale: Value-based care emphasizes quality and efficiency
by incentivizing improved patient outcomes and reducing
unnecessary spending.
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3. True/False
Question: The U.S. healthcare system is predominantly
financed through a combination of private insurance, government
programs, and out-of-pocket payments.
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, ANS: True
Rationale: The U.S. healthcare system is a mixed model,
relying on private insurance, public programs like Medicare and
Medicaid, and individual out-of-pocket spending.
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4. Multiple Response
Question: Which factors contribute to rising healthcare costs in
the United States? (Select all that apply)
- A. Advancements in medical technology
- B. Aging population
- C. Decreasing administrative complexity
- D. Increased prevalence of chronic diseases
ANS: A, B, D
Rationale: Technology advancements, an aging population, and
the growing burden of chronic diseases drive healthcare costs
upward. Administrative complexity increases costs, not decreases.
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, 5. Multiple Choice
Question: Which payment model incentivizes healthcare
providers to focus on preventive care and cost-efficiency?
A. Fee-for-service
B. Capitation
C. Out-of-pocket payments
D. Direct primary care
ANS: B
Rationale: Under capitation, providers receive a fixed amount
per patient, encouraging efficient and preventive care to avoid
unnecessary expenses.
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6. Fill-in-the-Blank
Question: The ____________ Act, enacted in 2010,
significantly expanded healthcare coverage and introduced
mandates for individual and employer insurance.
ANS: Affordable Care
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