HSA 464 EXAM #2 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

HSA 464 EXAM #2 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. The most common third-party payers in the United States healthcare system are
a. insurance companies and providers.
b. providers and the government.
c. the government and insurance companies.
d. providers and insurance companies.
Answer:
c

Question:
2. Third-party payers are
a. agents of patients that contract with providers to pay patients' medical bills.
b. payers that pay a third of patients' medical bills.
c. entities that decide what services a provider may render.
d. payers responsible for coordinating services.
Answer:
a

Question:
3. Which organization offered prepaid medical care to school teachers?
a. The Medical Care Plan of Texas
b. Baylor University Hospital
c. Medicare
d. Kaiser Permanente
Answer:
b

Question:
4. Under a direct service plan, the employer prepays ___________ to take care of its employees.
a. a third party
b. an integrated delivery system
c. specific hospitals and physicians
d. hospitals and physicians of the employees' choosing
Answer:
c

Question:
5. Under a commercial indemnity plan, the employer pays ___________, which reimburses __________.
a. a hospital of the employees' choosing; the employer
b. an insurance company; the employer
c. a hospital of the employees' choosing; insurance company
d. an insurance company; a hospital or physician of the employees' choosing

, Answer:
d

Question:
6. 6. Which three aspects of healthcare do managed care organizations address?
a. Cost, quality, waiting times
b. Quality, access, physician behavior
c. Quality, access, cost
d. Access, cost, accreditation
Answer:
c

Question:
7. 7. _______ plans allow members to seek care from a provider outside the network for a higher premium,
coinsurance rate, or deductible.
a. HMO
b. Open-panel HMO
c. POS
d. IDS
Answer:
c

Question:
8. The Affordable Care Act of 2010 set out to (changing for the exam)
a. provide insurance to the 32 million Americans still uninsured.
b. require individuals to have health insurance.
c. reduce the rate of increase for Medicare and Medicaid spending.
d. All of the above
Answer:
d

Question:
9. Most providers agree that _________ is the best way to be reimbursed.
a. capitation
b. cost
c. charges
d. per diem
Answer:
c

Question:
10. Which provisions reduced Disproportionate Share Hospital payments?
a. Bundled payment projects
b. Hospital Value-Based Purchasing Program
c. Readmission Reduction Program
d. Both a and c