HEALTH POLICY AND ECONOMICS EXAM / NSG 4100 HEALTH
POLICY AND ECONOMICS LATEST EXAM 2026/2027 COMPLETE
ACCURATE EXAM ACTUAL QUESTIONS WITH WELL ELABORATED
ANSWERS AND RATIONALES (VERIFIED SOLUTIONS) LATEST
UPDATED VERSION |ALREADY GRADED A+
Which federal program provides health coverage for older adults and certain
disabled individuals?
a. Medicaid
b. Medicare
c. CHIP
d. Affordable Care Act
correct answer: b. Medicare
rationale: Medicare is a federal program primarily for individuals aged 65+ and
certain younger individuals with disabilities.
Medicaid is designed to provide:
a. health coverage for low-income individuals and families
b. insurance for all adults regardless of income
c. services for employees only
d. coverage exclusively for children
correct answer: a. health coverage for low-income individuals and families
rationale: Medicaid is a state-federal partnership targeting low-income populations.
The Affordable Care Act (ACA) aimed to:
a. increase access to insurance, improve quality, and reduce costs
b. eliminates Medicare
,c. privatizes all hospitals
d. focus only on physician salaries
correct answer: a. increase access to insurance, improve quality, and reduce costs
rationale: ACA expanded insurance coverage, introduced marketplace exchanges,
and emphasized preventive care.
Which term describes the total amount spent on healthcare services in a
population?
a. healthcare utilization
b. healthcare expenditure
c. cost-effectiveness
d. insurance premium
correct answer: b. healthcare expenditure
rationale: Healthcare expenditure refers to the total financial resources spent on
healthcare services.
Fee-for-service (FFS) reimbursement:
a. pays providers for each service performed
b. pays a fixed amount per patient per year
c. reimburses hospitals only for medications
d. does not involve insurance
correct answer: a. pays providers for each service performed
rationale: FFS incentivizes volume of care rather than outcomes.
Capitation payment models:
a. pays providers a fixed amount per patient per period
,b. pays per service performed
c. reimburses hospitals only for medications
d. focus solely on administrative costs
correct answer: a. pays providers a fixed amount per patient per period
rationale: Capitation encourages efficiency and preventive care to control costs.
Health policy can be defined as:
a. decisions, plans, and actions to achieve specific healthcare goals
b. only hospital procedures
c. nursing documentation protocols
d. physician-only guidelines
correct answer: a. decisions, plans, and actions to achieve specific healthcare goals
rationale: Health policy includes governmental or organizational measures to
improve population health.
Primary care emphasizes:
a. first-contact, continuous, comprehensive, and coordinated care
b. inpatient hospital procedures only
c. specialty care exclusively
d. administrative functions
correct answer: a. first-contact, continuous, comprehensive, and coordinated care
rationale: Primary care serves as the first point of contact and integrates overall
patient management.
Cost-effectiveness analysis in healthcare evaluates:
a. costs relative to health outcomes achieved
, b. only administrative expenses
c. patient satisfaction exclusively
d. hospital infrastructure
correct answer: a. costs relative to health outcomes achieved
rationale: This analysis compares interventions to determine the best use of
resources for desired outcomes.
Health maintenance organizations (HMOs) typically:
a. provide care through a network with a focus on preventive services
b. allows unlimited access to any provider
c. cover only emergency services
d. reimburses based on fee-for-service only
correct answer: a. provide care through a network with a focus on preventive
services
rationale: HMOs emphasize cost control and preventive care within a defined
network.
Medicare Part A covers:
a. hospital inpatient care, skilled nursing, hospice
b. outpatient medications
c. dental services only
d. long-term home care exclusively
correct answer: a. hospital inpatient care, skilled nursing, hospice
rationale: Part A focuses on inpatient and institutional care services.
Medicare Part B covers:
POLICY AND ECONOMICS LATEST EXAM 2026/2027 COMPLETE
ACCURATE EXAM ACTUAL QUESTIONS WITH WELL ELABORATED
ANSWERS AND RATIONALES (VERIFIED SOLUTIONS) LATEST
UPDATED VERSION |ALREADY GRADED A+
Which federal program provides health coverage for older adults and certain
disabled individuals?
a. Medicaid
b. Medicare
c. CHIP
d. Affordable Care Act
correct answer: b. Medicare
rationale: Medicare is a federal program primarily for individuals aged 65+ and
certain younger individuals with disabilities.
Medicaid is designed to provide:
a. health coverage for low-income individuals and families
b. insurance for all adults regardless of income
c. services for employees only
d. coverage exclusively for children
correct answer: a. health coverage for low-income individuals and families
rationale: Medicaid is a state-federal partnership targeting low-income populations.
The Affordable Care Act (ACA) aimed to:
a. increase access to insurance, improve quality, and reduce costs
b. eliminates Medicare
,c. privatizes all hospitals
d. focus only on physician salaries
correct answer: a. increase access to insurance, improve quality, and reduce costs
rationale: ACA expanded insurance coverage, introduced marketplace exchanges,
and emphasized preventive care.
Which term describes the total amount spent on healthcare services in a
population?
a. healthcare utilization
b. healthcare expenditure
c. cost-effectiveness
d. insurance premium
correct answer: b. healthcare expenditure
rationale: Healthcare expenditure refers to the total financial resources spent on
healthcare services.
Fee-for-service (FFS) reimbursement:
a. pays providers for each service performed
b. pays a fixed amount per patient per year
c. reimburses hospitals only for medications
d. does not involve insurance
correct answer: a. pays providers for each service performed
rationale: FFS incentivizes volume of care rather than outcomes.
Capitation payment models:
a. pays providers a fixed amount per patient per period
,b. pays per service performed
c. reimburses hospitals only for medications
d. focus solely on administrative costs
correct answer: a. pays providers a fixed amount per patient per period
rationale: Capitation encourages efficiency and preventive care to control costs.
Health policy can be defined as:
a. decisions, plans, and actions to achieve specific healthcare goals
b. only hospital procedures
c. nursing documentation protocols
d. physician-only guidelines
correct answer: a. decisions, plans, and actions to achieve specific healthcare goals
rationale: Health policy includes governmental or organizational measures to
improve population health.
Primary care emphasizes:
a. first-contact, continuous, comprehensive, and coordinated care
b. inpatient hospital procedures only
c. specialty care exclusively
d. administrative functions
correct answer: a. first-contact, continuous, comprehensive, and coordinated care
rationale: Primary care serves as the first point of contact and integrates overall
patient management.
Cost-effectiveness analysis in healthcare evaluates:
a. costs relative to health outcomes achieved
, b. only administrative expenses
c. patient satisfaction exclusively
d. hospital infrastructure
correct answer: a. costs relative to health outcomes achieved
rationale: This analysis compares interventions to determine the best use of
resources for desired outcomes.
Health maintenance organizations (HMOs) typically:
a. provide care through a network with a focus on preventive services
b. allows unlimited access to any provider
c. cover only emergency services
d. reimburses based on fee-for-service only
correct answer: a. provide care through a network with a focus on preventive
services
rationale: HMOs emphasize cost control and preventive care within a defined
network.
Medicare Part A covers:
a. hospital inpatient care, skilled nursing, hospice
b. outpatient medications
c. dental services only
d. long-term home care exclusively
correct answer: a. hospital inpatient care, skilled nursing, hospice
rationale: Part A focuses on inpatient and institutional care services.
Medicare Part B covers:
