CPH 350 ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS
Health Insurance - CORRECT ANSWERS Health insurance helps cover medical costs
through premiums, deductibles, and co-pays.
Health Insurance Role in Health - CORRECT ANSWERS Reduces financial burden for
individuals seeking medical care, improving access and affordability.
Sources of Health Insurance in the U.S. - CORRECT ANSWERS Most Common Source:
Employer-sponsored health insurance.
Common Type of Health Insurance - CORRECT ANSWERS Employer-based health
insurance plans.
Uninsured Population in the U.S. - CORRECT ANSWERS Around 8-9% of the U.S.
population.
Characteristics of Uninsured - CORRECT ANSWERS Low-income individuals, part-time
workers, young adults, minorities.
Consequences of Lack of Insurance - CORRECT ANSWERS Delayed care, worse health
outcomes, higher emergency care costs.
Medicare - CORRECT ANSWERS Federal program for those 65+ or with disabilities, funded
primarily by federal payroll taxes.
, Medicaid - CORRECT ANSWERS State-managed program with federal guidelines, jointly
funded by federal and state governments.
Cost Sharing - CORRECT ANSWERS The portion of healthcare costs that the insured
individual must pay.
Deductible - CORRECT ANSWERS Amount paid before insurance kicks in.
Co-payment - CORRECT ANSWERS Fixed fee for services (e.g., $20 for a doctor's visit).
Co-insurance - CORRECT ANSWERS Percentage of the bill the insured must pay after
deductible (e.g., 20%).
Stop-loss - CORRECT ANSWERS Maximum amount out-of-pocket before insurance covers
100%.
Fee-for-Service - CORRECT ANSWERS Paid per service delivered, can lead to overuse of
services.
Discounted Fee-for-Service - CORRECT ANSWERS Similar to FFS but with reduced fees,
may impact quality or availability of care.
Bundled Payments - CORRECT ANSWERS Single payment covers all services for a
procedure or treatment, encourages efficiency and coordination of care.
Capitation - CORRECT ANSWERS Fixed payment per patient, regardless of services
rendered, incentivizes cost control but may lead to under-provision of care.
CORRECT ANSWERS
Health Insurance - CORRECT ANSWERS Health insurance helps cover medical costs
through premiums, deductibles, and co-pays.
Health Insurance Role in Health - CORRECT ANSWERS Reduces financial burden for
individuals seeking medical care, improving access and affordability.
Sources of Health Insurance in the U.S. - CORRECT ANSWERS Most Common Source:
Employer-sponsored health insurance.
Common Type of Health Insurance - CORRECT ANSWERS Employer-based health
insurance plans.
Uninsured Population in the U.S. - CORRECT ANSWERS Around 8-9% of the U.S.
population.
Characteristics of Uninsured - CORRECT ANSWERS Low-income individuals, part-time
workers, young adults, minorities.
Consequences of Lack of Insurance - CORRECT ANSWERS Delayed care, worse health
outcomes, higher emergency care costs.
Medicare - CORRECT ANSWERS Federal program for those 65+ or with disabilities, funded
primarily by federal payroll taxes.
, Medicaid - CORRECT ANSWERS State-managed program with federal guidelines, jointly
funded by federal and state governments.
Cost Sharing - CORRECT ANSWERS The portion of healthcare costs that the insured
individual must pay.
Deductible - CORRECT ANSWERS Amount paid before insurance kicks in.
Co-payment - CORRECT ANSWERS Fixed fee for services (e.g., $20 for a doctor's visit).
Co-insurance - CORRECT ANSWERS Percentage of the bill the insured must pay after
deductible (e.g., 20%).
Stop-loss - CORRECT ANSWERS Maximum amount out-of-pocket before insurance covers
100%.
Fee-for-Service - CORRECT ANSWERS Paid per service delivered, can lead to overuse of
services.
Discounted Fee-for-Service - CORRECT ANSWERS Similar to FFS but with reduced fees,
may impact quality or availability of care.
Bundled Payments - CORRECT ANSWERS Single payment covers all services for a
procedure or treatment, encourages efficiency and coordination of care.
Capitation - CORRECT ANSWERS Fixed payment per patient, regardless of services
rendered, incentivizes cost control but may lead to under-provision of care.
