Question
In general, Medicare pays hospitals Question options: Based on fees that are negotiated with hospitals for each service they provide Hospital services are not covered
In general, Medicare pays hospitals
Question options:
| Based on fees that are negotiated with hospitals for each service they provide | |
| Hospital services are not covered by Medicare | |
| Through a "bundled payment" system that offers a fixed price for all hospital services delivered during a hospital stay | |
| Through a shared savings program that rewards hospitals for saving money | |
| Based on what hospitals charge for each service they provide | |
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Which of the following is true about the source of insurance?
Question options:
| Most Americans receive health insurance through Medicare. | |
| Most Americans do not have health insurance | |
| Most Americans receive health insurance through employer-sponsored health insurance | |
| Most Americans receive health insurance through Medicaid | |
| Most Americans buy health insurance policies as individuals | |
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Which of the following is true of the Medicare program?
Question options:
| All Americans older than 65 must participate | |
| The distribution of its beneficiaries across insurance products is very different from private insurance | |
| It has, since its inception, covered hospital care, ambulatory care, and prescription drugs | |
| It is administered by the federal government but jointly financed by the states and the federal government | |
| All of the above | |
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Which of the following is true?
Question options:
| Individuals pay a relatively small percentage of the annual cost of their insurance | |
| Individuals pay a copayment that is a relatively small percentage of the cost of most services they use | |
| Individuals with private health insurance - particularly those with employer-sponsored health insurance - pay (and likely to pay in the future) a larger share of the cost associated with their healthcare than individuals with Medicare and Medicaid | |
| All of the above | |
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Which of the following is true?
Question options:
| Accountable-care organizations (ACOs) are delivery system entities that are emerging in response to financial incentives to reduce the cost and improve the quality of healthcare | |
| Patient-centered medical homes (PCMHs) are nursing homes that are designed to assist patients to make the transition from hospital care to home care | |
| The Medicare Shared Savings Program (MSSP) is a way that Medicare beneficiaries can share in savings that derive from their efforts to take better care of themselves | |
| Bundled payment programs are an exciting innovation, but to date there is very little experience with them | |
| All of the above | |
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Which of the following are NOT insurance products commonly offered in the United States?
Question options:
| Consumer-Directed Health Plans (CDHPs) and Health Savings Accounts (HSAs) |
| Traditional/open-access health insurance plans |
| Preferred Provider Organizations (PPOs) and Health Maintenance Organizations (HMOs) |
| Independent Practice Associations (IPAs) and Patient-Centered Medical Homes (PCMHs) |
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