ACTUAL EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
⩥ Which organization offered prepaid medical care to school teachers?
A) The Medical Care Plan of Texas
B) Baylor University Hospital
C) Medicare
D) Kaiser Permanente. Answer: B) Baylor University Hospital
⩥ Under a direct service plan, the employer prepays ___________ to
take care of its employees
A) A third party
B) An integrated delivery system
C) Specific hospitals and physicians
D) Hospitals and physicians of the employees' choosing. Answer: C)
Specific hospitals and physicians
⩥ Under a commercial indemnity plan, the employer pays
___________, which reimburses __________
, A) A hospital of the employee's choosing; the employer
B) An insurance company; the employer
C) A hospital of the employees' choosing; insurance compnay
D) An insurance company; a hospital or physician of the employees'
choosing. Answer: D) An insurance company; a hospital or physician of
the employees' choosing
⩥ Organizations using _________ to set premiums assume groups pay
different premiums based on risk
A) A community rating
B) A sliding scale rating
C) An experience rating
D) A per diem rating. Answer: C) An experience rating
⩥ Which of the following is an example of managed care's attempt to
improve the financing and delivery of healthcare while still holding
down costs?
A) Preauthorization for hospital admissions
B) Consumer-driven health plans
C) Utilization management