HSC292
Associate in Health Sciences Capstone
Final Exam Review (Qns & Ans)
2025
1. Which of the following best describes a health maintenance
organization (HMO)?
- A) A network of independent hospitals providing specialized
care
- B) A type of health insurance plan that provides services
through a network of providers
- C) A government-funded program for low-income individuals
- D) A group of healthcare providers offering emergency
services exclusively
- Correct ANS: B) A type of health insurance plan that
provides services through a network of providers
©2025
, - Rationale: HMOs are health insurance plans that offer
services through a network of healthcare providers, emphasizing
preventive care and cost control.
2. The principle of "gatekeeping" in managed care primarily
involves:
- A) Ensuring all patients receive specialist referrals
- B) Requiring patients to obtain primary care provider approval
for specialist services
- C) Limiting the number of healthcare providers in the network
- D) Providing direct access to all healthcare services without
restrictions
- Correct ANS: B) Requiring patients to obtain primary care
provider approval for specialist services
- Rationale: Gatekeeping involves primary care providers
coordinating patient care and authorizing referrals to specialists to
manage costs and care efficiently.
Fill-in-the-Blank Questions
3. The __________ Act of 2010 aimed to expand access to
healthcare coverage and reduce healthcare costs in the United
States.
- Correct ANS: Affordable Care Act (ACA)
©2025
, - Rationale: The ACA, also known as Obamacare, focused on
increasing healthcare access, reducing costs, and improving the
quality of care.
4. __________ is a model of care that emphasizes coordinated
and comprehensive patient-centered care with a focus on primary
care.
- Correct ANS: Patient-Centered Medical Home (PCMH)
- Rationale: The PCMH model emphasizes primary care
coordination, comprehensive care, and patient-centered practices
to improve health outcomes.
True/False Questions
5. The fee-for-service payment model incentivizes providers to
deliver more services regardless of necessity.
- Correct ANS: True
- Rationale: Fee-for-service pays providers for each service
rendered, which can lead to overutilization of services without
necessarily improving patient outcomes.
6. Accountable Care Organizations (ACOs) aim to improve
patient care and reduce healthcare costs through coordinated
efforts among healthcare providers.
©2025
, - Correct ANS: True
- Rationale: ACOs focus on enhancing care coordination and
quality while reducing costs by promoting collaboration among
healthcare providers.
Multiple Response Questions
7. Which of the following are elements of the Triple Aim in
healthcare? (Select all that apply)
- A) Improving the patient experience
- B) Reducing per capita healthcare costs
- C) Enhancing population health
- D) Increasing provider revenue
- Correct ANSs: A) Improving the patient experience, B)
Reducing per capita healthcare costs, C) Enhancing population
health
- Rationale: The Triple Aim aims to improve the patient
experience, reduce costs, and enhance population health.
Increasing provider revenue is not a component of the Triple Aim.
8. Which of the following factors contribute to health disparities
in the United States? (Select all that apply)
- A) Socioeconomic status
©2025
Associate in Health Sciences Capstone
Final Exam Review (Qns & Ans)
2025
1. Which of the following best describes a health maintenance
organization (HMO)?
- A) A network of independent hospitals providing specialized
care
- B) A type of health insurance plan that provides services
through a network of providers
- C) A government-funded program for low-income individuals
- D) A group of healthcare providers offering emergency
services exclusively
- Correct ANS: B) A type of health insurance plan that
provides services through a network of providers
©2025
, - Rationale: HMOs are health insurance plans that offer
services through a network of healthcare providers, emphasizing
preventive care and cost control.
2. The principle of "gatekeeping" in managed care primarily
involves:
- A) Ensuring all patients receive specialist referrals
- B) Requiring patients to obtain primary care provider approval
for specialist services
- C) Limiting the number of healthcare providers in the network
- D) Providing direct access to all healthcare services without
restrictions
- Correct ANS: B) Requiring patients to obtain primary care
provider approval for specialist services
- Rationale: Gatekeeping involves primary care providers
coordinating patient care and authorizing referrals to specialists to
manage costs and care efficiently.
Fill-in-the-Blank Questions
3. The __________ Act of 2010 aimed to expand access to
healthcare coverage and reduce healthcare costs in the United
States.
- Correct ANS: Affordable Care Act (ACA)
©2025
, - Rationale: The ACA, also known as Obamacare, focused on
increasing healthcare access, reducing costs, and improving the
quality of care.
4. __________ is a model of care that emphasizes coordinated
and comprehensive patient-centered care with a focus on primary
care.
- Correct ANS: Patient-Centered Medical Home (PCMH)
- Rationale: The PCMH model emphasizes primary care
coordination, comprehensive care, and patient-centered practices
to improve health outcomes.
True/False Questions
5. The fee-for-service payment model incentivizes providers to
deliver more services regardless of necessity.
- Correct ANS: True
- Rationale: Fee-for-service pays providers for each service
rendered, which can lead to overutilization of services without
necessarily improving patient outcomes.
6. Accountable Care Organizations (ACOs) aim to improve
patient care and reduce healthcare costs through coordinated
efforts among healthcare providers.
©2025
, - Correct ANS: True
- Rationale: ACOs focus on enhancing care coordination and
quality while reducing costs by promoting collaboration among
healthcare providers.
Multiple Response Questions
7. Which of the following are elements of the Triple Aim in
healthcare? (Select all that apply)
- A) Improving the patient experience
- B) Reducing per capita healthcare costs
- C) Enhancing population health
- D) Increasing provider revenue
- Correct ANSs: A) Improving the patient experience, B)
Reducing per capita healthcare costs, C) Enhancing population
health
- Rationale: The Triple Aim aims to improve the patient
experience, reduce costs, and enhance population health.
Increasing provider revenue is not a component of the Triple Aim.
8. Which of the following factors contribute to health disparities
in the United States? (Select all that apply)
- A) Socioeconomic status
©2025
