WGU C425 OA 2025 U.S. HEALTHCARE POLICY AND SYSTEMS –
MEDICARE, MEDICAID, AND PUBLIC HEALTH 80 PRACTICE
QUESTIONS WITH VERIFIED ANSWERS (2025 EXAM REVIEW) WITH
MOST TESTED QUESTIONS
THIS RESOURCE PROVIDES A COMPREHENSIVE SET OF PRACTICE QUESTIONS ON MEDICARE
AND MEDICAID STRUCTURES, PUBLIC HEALTH FRAMEWORKS, AND U.S. HEALTHCARE
POLICY. IT COVERS ESSENTIAL CONCEPTS SUCH AS HEALTHCARE FINANCING, PROVIDER
ROLES, STATE AND FEDERAL PROGRAM RESPONSIBILITIES, AND HISTORICAL POLICY
DEVELOPMENTS. THIS DOCUMENT IS IDEAL FOR STUDENTS IN HEALTHCARE
ADMINISTRATION, PUBLIC HEALTH, OR NURSING PROGRAMS PREPARING FOR EXAMS OR
PROFESSIONAL CERTIFICATION.
Which of the following is true in regards to health care today in the United States?
There are more primary care physicians than specialty physicians.
Primary care receives a higher reimbursement in professional fees.
There are more specialty physicians than primary physicians.
Outpatient care is slowly decreasing. - CORRECT ANSWER-There are more specialty physicians
than primary physicians.
What triggered the downsizing phase in the U.S. hospital industry during the 1980s?
Hill-Burton Act
Managed care
Prospective payment system
Medicare and Medicaid - CORRECT ANSWER-Prospective payment system
What two main concerns dominate the debate today over Medicare reform policy?
Decrease spending; provide comprehensive coverage
Provide comprehensive coverage; raise the age limit
Decrease spending; cover children
Increase spending; decrease nursing home coverage - CORRECT ANSWER-Decrease spending;
provide comprehensive coverage
, How was the Medicare PPS system designed to curb escalating health care costs?
By providing a general fee schedule for services
By providing children tax breaks
By providing extensive coverage to the elderly
By eliminating sales taxes on health care products - CORRECT ANSWER-By providing a general
fee schedule for services
A job description for a physician would be to:
determine the significance of a patient's health condition.
only prescribe medications to patients.
refer commonly occurring conditions to specialists.
dispense medications. - CORRECT ANSWER-determine the significance of a patient's health
condition.
A specialist must:
work in a hospital.
gain certification in an area of medical specialization.
attend only medical school.
serve as a gatekeeper to contain costs. - CORRECT ANSWER-gain certification in an area of
medical specialization.
Studies have shown that NPP services can:
improve access to primary care.
be cost-prohibitive.
provide mediocre services at a less expensive price.
work independently of physicians. - CORRECT ANSWER-improve access to primary care.
Health service administrators:are responsible for the operational, clinical, and financial outcomes of
the entire organization.focus on the community as a whole rather than treating the
individual.diagnose and treat patient illnesses.assist physicians in patient care. - CORRECT
ANSWER-are responsible for the operational, clinical, and financial outcomes of the entire
organization.
MEDICARE, MEDICAID, AND PUBLIC HEALTH 80 PRACTICE
QUESTIONS WITH VERIFIED ANSWERS (2025 EXAM REVIEW) WITH
MOST TESTED QUESTIONS
THIS RESOURCE PROVIDES A COMPREHENSIVE SET OF PRACTICE QUESTIONS ON MEDICARE
AND MEDICAID STRUCTURES, PUBLIC HEALTH FRAMEWORKS, AND U.S. HEALTHCARE
POLICY. IT COVERS ESSENTIAL CONCEPTS SUCH AS HEALTHCARE FINANCING, PROVIDER
ROLES, STATE AND FEDERAL PROGRAM RESPONSIBILITIES, AND HISTORICAL POLICY
DEVELOPMENTS. THIS DOCUMENT IS IDEAL FOR STUDENTS IN HEALTHCARE
ADMINISTRATION, PUBLIC HEALTH, OR NURSING PROGRAMS PREPARING FOR EXAMS OR
PROFESSIONAL CERTIFICATION.
Which of the following is true in regards to health care today in the United States?
There are more primary care physicians than specialty physicians.
Primary care receives a higher reimbursement in professional fees.
There are more specialty physicians than primary physicians.
Outpatient care is slowly decreasing. - CORRECT ANSWER-There are more specialty physicians
than primary physicians.
What triggered the downsizing phase in the U.S. hospital industry during the 1980s?
Hill-Burton Act
Managed care
Prospective payment system
Medicare and Medicaid - CORRECT ANSWER-Prospective payment system
What two main concerns dominate the debate today over Medicare reform policy?
Decrease spending; provide comprehensive coverage
Provide comprehensive coverage; raise the age limit
Decrease spending; cover children
Increase spending; decrease nursing home coverage - CORRECT ANSWER-Decrease spending;
provide comprehensive coverage
, How was the Medicare PPS system designed to curb escalating health care costs?
By providing a general fee schedule for services
By providing children tax breaks
By providing extensive coverage to the elderly
By eliminating sales taxes on health care products - CORRECT ANSWER-By providing a general
fee schedule for services
A job description for a physician would be to:
determine the significance of a patient's health condition.
only prescribe medications to patients.
refer commonly occurring conditions to specialists.
dispense medications. - CORRECT ANSWER-determine the significance of a patient's health
condition.
A specialist must:
work in a hospital.
gain certification in an area of medical specialization.
attend only medical school.
serve as a gatekeeper to contain costs. - CORRECT ANSWER-gain certification in an area of
medical specialization.
Studies have shown that NPP services can:
improve access to primary care.
be cost-prohibitive.
provide mediocre services at a less expensive price.
work independently of physicians. - CORRECT ANSWER-improve access to primary care.
Health service administrators:are responsible for the operational, clinical, and financial outcomes of
the entire organization.focus on the community as a whole rather than treating the
individual.diagnose and treat patient illnesses.assist physicians in patient care. - CORRECT
ANSWER-are responsible for the operational, clinical, and financial outcomes of the entire
organization.
