BU.881.701
Fundamentals of HC Systems
Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: Which term describes the combination of healthcare
providers, payers, and regulatory bodies that interact to deliver
healthcare services?
A. Health Insurance Exchange
B. Integrated Delivery System
C. Fee-for-Service System
D. Health Maintenance Organization
ANS: B
©2025
, Rationale: An Integrated Delivery System coordinates care
across providers, payers, and regulators, optimizing efficiency and
patient outcomes.
---
2. Fill-in-the-Blank
Question: The ____________ is a government program that
provides healthcare coverage to individuals aged 65 and older, as
well as certain disabled individuals.
ANS: Medicare
Rationale: Medicare is a federal program designed to support
seniors and individuals with specific disabilities in accessing
healthcare.
---
3. True/False
Question: The U.S. healthcare system is considered a single-
payer system.
ANS: False
©2025
, Rationale: The U.S. healthcare system is a mixed model with
private insurers and public programs like Medicare and Medicaid,
not a single-payer system.
---
4. Multiple Response
Question: Which are common reimbursement models in the
U.S. healthcare system? (Select all that apply)
- A. Capitation
- B. Fee-for-Service
- C. Value-Based Payments
- D. Free Health Coverage
ANS: A, B, C
Rationale: Capitation, fee-for-service, and value-based
payments are common reimbursement models, while free health
coverage is not a standard feature of the U.S. system.
---
5. Multiple Choice
©2025
, Question: What is the primary function of the Centers for
Medicare & Medicaid Services (CMS)?
A. Regulating insurance companies
B. Managing federal healthcare programs and payment systems
C. Overseeing pharmaceutical pricing
D. Conducting public health campaigns
ANS: B
Rationale: CMS administers Medicare and Medicaid programs
and manages payment systems for these federal healthcare
initiatives.
---
6. Fill-in-the-Blank
Question: The ____________ Care Act significantly expanded
healthcare coverage in the United States through insurance
mandates and subsidies.
ANS: Affordable
Rationale: The Affordable Care Act (ACA) aimed to reduce
the uninsured rate and make healthcare more accessible and
affordable.
©2025
Fundamentals of HC Systems
Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: Which term describes the combination of healthcare
providers, payers, and regulatory bodies that interact to deliver
healthcare services?
A. Health Insurance Exchange
B. Integrated Delivery System
C. Fee-for-Service System
D. Health Maintenance Organization
ANS: B
©2025
, Rationale: An Integrated Delivery System coordinates care
across providers, payers, and regulators, optimizing efficiency and
patient outcomes.
---
2. Fill-in-the-Blank
Question: The ____________ is a government program that
provides healthcare coverage to individuals aged 65 and older, as
well as certain disabled individuals.
ANS: Medicare
Rationale: Medicare is a federal program designed to support
seniors and individuals with specific disabilities in accessing
healthcare.
---
3. True/False
Question: The U.S. healthcare system is considered a single-
payer system.
ANS: False
©2025
, Rationale: The U.S. healthcare system is a mixed model with
private insurers and public programs like Medicare and Medicaid,
not a single-payer system.
---
4. Multiple Response
Question: Which are common reimbursement models in the
U.S. healthcare system? (Select all that apply)
- A. Capitation
- B. Fee-for-Service
- C. Value-Based Payments
- D. Free Health Coverage
ANS: A, B, C
Rationale: Capitation, fee-for-service, and value-based
payments are common reimbursement models, while free health
coverage is not a standard feature of the U.S. system.
---
5. Multiple Choice
©2025
, Question: What is the primary function of the Centers for
Medicare & Medicaid Services (CMS)?
A. Regulating insurance companies
B. Managing federal healthcare programs and payment systems
C. Overseeing pharmaceutical pricing
D. Conducting public health campaigns
ANS: B
Rationale: CMS administers Medicare and Medicaid programs
and manages payment systems for these federal healthcare
initiatives.
---
6. Fill-in-the-Blank
Question: The ____________ Care Act significantly expanded
healthcare coverage in the United States through insurance
mandates and subsidies.
ANS: Affordable
Rationale: The Affordable Care Act (ACA) aimed to reduce
the uninsured rate and make healthcare more accessible and
affordable.
©2025
