Examination-Latest Topic Test – 2026
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Rationales/Graded A+/2026
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Total Questions: 85
Format: Multiple Choice
Instructions: Select the best answer. Correct answers are highlighted in bold.
Rationales are provided.
Section I: Healthcare Systems & Delivery Models (Questions 1–15)
1. Which U.S. healthcare delivery model primarily serves individuals aged 65
and older?
a) Medicaid
b) TRICARE
c) Medicare
d) CHIP
Rationale: Medicare is federal health insurance for 65+ and certain younger
disabled individuals. Medicaid covers low-income.
2. The Patient Protection and Affordable Care Act (ACA) of 2010 introduced
which key feature?
a) Single-payer system
b) Health insurance marketplaces
c) Elimination of private insurance
d) Free healthcare for all
Rationale: ACA created state/federal marketplaces for insurance purchase, often
with subsidies.
,3. A hospital that is investor-owned and operates for profit is classified as:
a) Non-profit
b) For-profit (proprietary)
c) Government-owned
d) Teaching hospital
Rationale: For-profit hospitals are owned by investors/shareholders seeking
financial return.
4. What is the primary goal of value-based purchasing (VBP)?
a) Reduce number of hospitals
b) Link payment to quality and outcomes
c) Increase fee-for-service payments
d) Eliminate electronic health records
Rationale: VBP rewards providers with better patient outcomes, efficiency, and
satisfaction.
5. Accountable Care Organizations (ACOs) aim to:
a) Limit patient choice
b) Coordinate care to reduce costs and improve quality
c) Increase hospital admissions
d) Replace all primary care physicians
Rationale: ACOs are networks that share financial/medical responsibility for a
patient population.
6. Which healthcare system is characterized by government ownership and
funding of healthcare?
a) Bismarck model
b) Beveridge model
c) National Health Insurance model
d) Out-of-pocket model
Rationale: Beveridge model (e.g., UK NHS) – government provides and funds
care via taxes.
7. In 2026, which trend is most significantly reshaping hospital-at-home
programs?
a) Decrease in remote monitoring tech
b) CMS expansion of acute hospital care at home waiver
c) Reduction in nursing staff
d) Outlawing telehealth
, Rationale: CMS waivers have expanded, allowing more services at home,
reducing inpatient burden.
8. Medicaid is jointly funded by:
a) Private insurers and employers
b) Federal and state governments
c) Only state governments
d) Patient premiums
Rationale: Medicaid: federal matching funds + state administration/funding.
9. A critical access hospital (CAH) must have no more than:
a) 50 beds
b) 25 acute care beds
c) 100 beds
d) 10 beds
Rationale: CAHs (rural) limited to 25 acute care inpatient beds; designed to
maintain access.
10. The main purpose of a Certificate of Need (CON) law is to:
a) Increase competition
b) Control healthcare costs and avoid duplication of services
c) Mandate electronic records
d) Reduce physician salaries
Rationale: CON requires state approval for major capital expenditures/new
services.
11. Which payment model reimburses a fixed amount per patient per period
regardless of services used?
a) Fee-for-service
b) Capitation
c) Bundled payment
d) Discounted fee-for-service
Rationale: Capitation – common in HMOs; encourages preventive care, limits
unnecessary services.
12. Telehealth expansion in 2026 is most challenged by:
a) Patient demand
b) Licensure portability across state lines
c) Lack of technology
d) Insurance refusal