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HMGT 3310 – Midterm Exam 2025 (Actual Exam Questions & Verified Answers) |Complete and Accurate Exam Study Guide

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This document is a comprehensive and highly detailed HMGT 3310 Midterm Exam 2025 study guide, containing actual exam questions with verified, accurate answers, specifically aligned with the real midterm examination. It provides an in-depth review of the U.S. healthcare regulatory system, emphasizing the public–private partnership model and the roles of federal, state, and private actors in healthcare oversight. The material thoroughly covers healthcare history and policy development, including the origins of health insurance, Blue Cross/Blue Shield, the impact of World War II, the Hill-Burton Act, Medicare and Medicaid, HMOs, managed care, DRGs, RBRVS, CON programs, EMTALA, CLIA, ACA incentive programs, and major federal legislation affecting healthcare delivery and financing. It also includes extensive detail on licensure and accreditation (state medical boards, FSMB, USMLE, AMA, JCAHO, NCQA), hospital regulation, quality improvement initiatives, patient safety laws, workforce regulation, reimbursement systems, and insurance regulation. This resource is ideal for HMGT 3310 midterm preparation, concept mastery, and high-stakes exam success.

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HMGT 3310 MIDTERM 2025 ACTUAL EXAM
(TESTING REAL EXAM QUESTIONS)AND
VERIFIED ANSWERS ( 100 ACCURATE) GET
IT RIGHT!!
1. the drive for regulating health stems from controlling

Answer quality, access, cost; they always have a trade ott

2. what was the first form of health insurance?

Answer Baylor Hospitals developed a plan for unlimited access by school teachers in return for

prepayment in the form of a set monthly sum

3. blue cross insurance

Answer first nonprofit insurance company that covered inpatient expenses; formed in 1939


4. the impact of WWII on health insurance?

Answer 1. freeze on wages during war left few options to attract workers but it exempted fringe benefits

such as employer-paid insurance; firms used this to entice prospective workers

2. subsequent tax regulations compounded the value of insurance; health insurance benefits were excluded from

income tax


,5. Hill-burton Act

Answer -1946; provided federal grants to fund hospitals construction and renovations


-must do the following

provide minimum amounts of indigent care (care for the poor), to operate ERs,

decline from discriminating against patients based on race

Participation in Medicare/aid

6. When was Medicare and Medicaid established?

Answer 1965


7. Health Maintenance Organizations (HMOs)

Answer a less costly alternative to tradition health insur- ance through a passage of legislation to

encourage their adoption in employer benefit plans; 1973

8. what did congress do in 1976 to control healthcare costs?

Answer mandated states implement health planning programs to rationalize proliferation of expensive

and obligate services

9. change in Medicare in 1983


,Answer switched from a fee for service method to one based on prospectively set mouton deterred by each

patient's primary diagnosis

10. pillars of the regulatory system

Answer federal, state, private


11. Three branches of government

Answer 1. Legislative


2. Executive


3. Judicial


12. States and Healthcare

Answer the original locus of regulatory activity (don't through departments of health and boards of

medicine)

13. state health departments

Answer oversees sanitation standards, conducts inspections, issues lessens, and gathers and

disseminates data





, 14. boards of medicine

Answer perform basics functions of professional licensing and oversight of practice


15. American Medical Association

Answer -formed in 1847; promoted and guided the development of physi- cian licensure laws and

accreditation standard for medical schools

-most influential private organization of them all


-has strong lobbying presence


16. Joint commission on Accreditation of Healthcare Organizations

Answer formed in 1950s; a private organization formed by members of hospitals that establish a process of

accrediting facilities according to quality standard that were generally more stringent than those required for state

licensure; most hospitals are part of JCAHO and are reevaluated every 3 years

17. National Committee for Quality Assurance

Answer formed 1990s; represent large employers and other major payer for care; accredits MCO; private

accrediting organization supervise quality through collaboration of members of the industry
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