HCD 330 Exam Newest 2025/2026
Complete All Questions And Correct
Detailed Answers |Already Graded
A+||Already Graded A+
Which cost-sharing mechanism is a set amount that the insured (or insured's employer)
pays on a monthly basis in order to maintain membership in an insurance plan? -
Answer- Premium
Which statement best describes Health insurance risk-sharing? - Answer- Members
enroll in group insurance plans and pool money through monthly premium payments.
The pooled money covers medical costs across all members so that risk is spread
across all members..
Which statement best represents the way hospitals negotiate prices with Medicare? -
Answer- Hospitals cannot negotiate with Medicare and must accept the Medicare set
reimbursement rates.
Which cost-sharing mechanism is the payment that patients must pay at the point of
service? - Answer- Copayment
Which part of Medicare covers both hospital and physician services through what is
known as Medicare Advantage Plans. - Answer- Part C
Which statement best defines the term Formulary? - Answer- A list of medications
covered by the insurance company.
The majority of insured Americans get their health insurance through which type of
system? - Answer- Employer-based insurance
Medicare reimburses physician services based on which of the following methods? -
Answer- RVUs (Relative Value Units), or fee-for-service based on a relative value
assigned to the physician's service. (Also called RBRVs)
Which cost-sharing mechanism is the amount that must be paid by the patient prior to
the insurance paying for services rendered? - Answer- Deductible
Select the categories of people who may be eligible for Traditional Medicaid (select ALL
correct answers). - Answer- Pregnant women
People with disabilities
The elderly
Families with dependents
, The federal government pays a larger portion of costs associated with the Medicaid
Expansion program (when compared to states). - Answer- True
Which part of Medicare covers physician expenses? - Answer- Part B
Medicare has traditionally been prohibited from negotiating drug prices, but through the
Inflation Reduction Act, it can now negotiate prices on a short list of medications. -
Answer- True
What is the main difference between "Traditional Medicaid" and "ACA Expansion
Medicaid"? - Answer- Eligibility for Traditional Medicaid includes categorical
requirements, while Medicaid Expansion eligibility is based solely on whether
individuals' income falls below a set threshold.
Which part of Medicare covers prescription drugs? - Answer- Part D
Which of the following is one criterion on which eligibility for the federal Medicaid health
insurance is based? - Answer- Income
Generic drugs are the chemical name for the medication. Brand name drugs are the
name created by the pharmaceutical company but contain the same chemical
compound as the generic (i.e. they are the same). - Answer- True
Because Medicaid Expansion requires greater state expenditure, most states opted out
of the program. - Answer- False
Medicare (and many private insurance plans) reimburse hospitals based on which of the
following methods? - Answer- DRGs (Diagnosis Related Groups) or bundled payments
based on diagnosis.
Which patient population is covered by Medicare? (Select ALL correct answers) -
Answer- People with ALS
>65 years old
People with End Stage Renal Disease
Most long-term care services consist of assistance with Activities of Daily Living as
opposed to medical care. - Answer- True
The average annual cost of a private room in a long-term care facility was
approximately how much in 2018? - Answer- $90,000
Which of the following institutional services provide the greatest assistance with
Activities of Daily Living? - Answer- Assisted living facilities
Complete All Questions And Correct
Detailed Answers |Already Graded
A+||Already Graded A+
Which cost-sharing mechanism is a set amount that the insured (or insured's employer)
pays on a monthly basis in order to maintain membership in an insurance plan? -
Answer- Premium
Which statement best describes Health insurance risk-sharing? - Answer- Members
enroll in group insurance plans and pool money through monthly premium payments.
The pooled money covers medical costs across all members so that risk is spread
across all members..
Which statement best represents the way hospitals negotiate prices with Medicare? -
Answer- Hospitals cannot negotiate with Medicare and must accept the Medicare set
reimbursement rates.
Which cost-sharing mechanism is the payment that patients must pay at the point of
service? - Answer- Copayment
Which part of Medicare covers both hospital and physician services through what is
known as Medicare Advantage Plans. - Answer- Part C
Which statement best defines the term Formulary? - Answer- A list of medications
covered by the insurance company.
The majority of insured Americans get their health insurance through which type of
system? - Answer- Employer-based insurance
Medicare reimburses physician services based on which of the following methods? -
Answer- RVUs (Relative Value Units), or fee-for-service based on a relative value
assigned to the physician's service. (Also called RBRVs)
Which cost-sharing mechanism is the amount that must be paid by the patient prior to
the insurance paying for services rendered? - Answer- Deductible
Select the categories of people who may be eligible for Traditional Medicaid (select ALL
correct answers). - Answer- Pregnant women
People with disabilities
The elderly
Families with dependents
, The federal government pays a larger portion of costs associated with the Medicaid
Expansion program (when compared to states). - Answer- True
Which part of Medicare covers physician expenses? - Answer- Part B
Medicare has traditionally been prohibited from negotiating drug prices, but through the
Inflation Reduction Act, it can now negotiate prices on a short list of medications. -
Answer- True
What is the main difference between "Traditional Medicaid" and "ACA Expansion
Medicaid"? - Answer- Eligibility for Traditional Medicaid includes categorical
requirements, while Medicaid Expansion eligibility is based solely on whether
individuals' income falls below a set threshold.
Which part of Medicare covers prescription drugs? - Answer- Part D
Which of the following is one criterion on which eligibility for the federal Medicaid health
insurance is based? - Answer- Income
Generic drugs are the chemical name for the medication. Brand name drugs are the
name created by the pharmaceutical company but contain the same chemical
compound as the generic (i.e. they are the same). - Answer- True
Because Medicaid Expansion requires greater state expenditure, most states opted out
of the program. - Answer- False
Medicare (and many private insurance plans) reimburse hospitals based on which of the
following methods? - Answer- DRGs (Diagnosis Related Groups) or bundled payments
based on diagnosis.
Which patient population is covered by Medicare? (Select ALL correct answers) -
Answer- People with ALS
>65 years old
People with End Stage Renal Disease
Most long-term care services consist of assistance with Activities of Daily Living as
opposed to medical care. - Answer- True
The average annual cost of a private room in a long-term care facility was
approximately how much in 2018? - Answer- $90,000
Which of the following institutional services provide the greatest assistance with
Activities of Daily Living? - Answer- Assisted living facilities
