Health Care Financing Question and
answers 100% correct 2025/2026
Public Insurance - correct answer ✔Wide scale programs such as Medicare and Medicaid
Private Insurance - correct answer ✔companies either help manage the government financed system
or offer supplementary or alternative charge.
Four Types of Care Paid - correct answer ✔hospital care, physician and other clinical services, nursing
home care, and prescription drugs.
How Individual Pays for Service - correct answer ✔there are three options when one becomes ill or
injured; either through a person's insurance coverage, or out of pocket from income and savings. If a
person is uninsured and has no money then there is the third option of a safety net provide which is a
charity case.
Payer Mix - correct answer ✔the mix of where money is coming from to pay the provider. The ability to
provide good care depends on the mix of patients and insurance plans the hospital serves and its ability
to negotiate good rates with each type of payer.
Medicaid - correct answer ✔a publicly financed program designed to assist recipients of public
assistance-primarily single parent families and low income people who are aged, blind, and disabled.
Over the years Medicaid has expanded to include additional groups and now covers poor children. The
power of giving Medicaid resides within the state.
Medicaid has adopted the managed care approach, and has been removed from the connection to
Welfare. The 2010 health care reform law is expected to expand Medicaid.
Medicare - correct answer ✔a publicly financed program that is administered the federal government.
Medicare originally target people 65 and over but was expanded to cover people with disabilities and
severe kidney disease. The government is the single largest payer of health care expenses.
answers 100% correct 2025/2026
Public Insurance - correct answer ✔Wide scale programs such as Medicare and Medicaid
Private Insurance - correct answer ✔companies either help manage the government financed system
or offer supplementary or alternative charge.
Four Types of Care Paid - correct answer ✔hospital care, physician and other clinical services, nursing
home care, and prescription drugs.
How Individual Pays for Service - correct answer ✔there are three options when one becomes ill or
injured; either through a person's insurance coverage, or out of pocket from income and savings. If a
person is uninsured and has no money then there is the third option of a safety net provide which is a
charity case.
Payer Mix - correct answer ✔the mix of where money is coming from to pay the provider. The ability to
provide good care depends on the mix of patients and insurance plans the hospital serves and its ability
to negotiate good rates with each type of payer.
Medicaid - correct answer ✔a publicly financed program designed to assist recipients of public
assistance-primarily single parent families and low income people who are aged, blind, and disabled.
Over the years Medicaid has expanded to include additional groups and now covers poor children. The
power of giving Medicaid resides within the state.
Medicaid has adopted the managed care approach, and has been removed from the connection to
Welfare. The 2010 health care reform law is expected to expand Medicaid.
Medicare - correct answer ✔a publicly financed program that is administered the federal government.
Medicare originally target people 65 and over but was expanded to cover people with disabilities and
severe kidney disease. The government is the single largest payer of health care expenses.
