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Health Policy & Management (HPM101) – Chapter 1 Key Terms (37 Questions) | Insurance Models, Medicare, Cost Control

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This document presents a complete and verified set of 37 exam-style questions and answers covering the essential key terms from Chapter 1 of the Health Policy and Management (HPM101) course, specifically for the 2025/2026 academic year. It offers clear, accurate definitions of major healthcare concepts, including Medicare and Medicaid, public vs. private insurance, managed care, capitation and bundled payments, moral hazard, economic rent, and regulatory mechanisms like ERISA and Certificate of Need. The document is especially useful for students enrolled in Public Health, Health Administration, Health Policy, Pre-Med, Health Economics, Medical Sociology, and Nursing programs. It also serves graduate students in MPH or MHA programs, and anyone preparing for exams related to U.S. healthcare systems or policy. Its verified and professionally graded content makes it ideal for both conceptual learning and efficient test preparation. Topics span insurance payment models, healthcare reform strategies (like the Triple Aim and ACOs), labor and policy terms (e.g., collective bargaining, portability), and economic frameworks that affect healthcare access and cost distribution. This is a high-quality resource for mastering the foundational vocabulary and ideas in healthcare policy and delivery. Keywords: health policy, health management, public option, group insurance, medicare, medicaid, premium, ERISA, managed care, capitation, retrospective payment, prospective payment, bundled payment, diagnosis-related group, moral hazard, adverse selection, insurance exchange, triple aim, integrator, entitlement programs, cost shifting, economic rent, natural monopoly, certificate of need, horizontal integration, vertical integration, relative-value scale, guaranteed issue, guaranteed renewability, indemnity insurance, portability, flexner report, collective bargaining, game, uncertainty, healthcare economics, healthcare regulation

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Uploaded on
December 9, 2025
Number of pages
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Written in
2025/2026
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Chapter 1_Key Terms 2025/2026 Exam
Questions and Verified Answers |
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Public option - 🧠 ANSWER ✔✔A public health insurance plan comparable

to Medicaid, designed to compete with private insurance.


Uncertainty - 🧠 ANSWER ✔✔A state in which multiple outcomes are

possible but the likelihood of any one outcome is not known.


Premium - 🧠 ANSWER ✔✔A periodic payment required to purchase an

insurance policy.

, Group insurance - 🧠 ANSWER ✔✔A plan whereby an entire group receives

insurance under a single policy. The insurance is actually issued to the plan

holder, usually an employer or association.


Medicare - 🧠 ANSWER ✔✔Health insurance for the elderly provided under

an amendment to the Social Security Act.


Medicaid - 🧠 ANSWER ✔✔Health insurance for the poor financed jointly by

federal and state governments.


Flexner Report - 🧠 ANSWER ✔✔A 1910 report published as part of a

critical review of medical education in the United States. The response of

the medical establishment led to significant changes in the accreditation

procedures of medical schools and an improvement in the quality of

medical care.


Collective bargaining - 🧠 ANSWER ✔✔The negotiation process whereby

representatives of employers and employees agree upon the terms of a

labor contract, including wages and benefits.


Cost shifting - 🧠 ANSWER ✔✔The practice of charging higher prices to one

group of patients, usually those with health insurance, in order to provide

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