Exam: 2026 Most Tested
Topics||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
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Total Questions: 80+
Format: Multiple Choice
Instruction: Select the best answer. Correct answers are highlighted in bold with
a rationale.
Section 1: U.S. Health Care System & Policy (2026 Updates)
1. The Inflation Reduction Act (IRA) of 2022, fully implemented by 2026,
primarily affects health care administration by:
a) Expanding Medicaid work requirements
b) Allowing Medicare to negotiate drug prices for high-cost medications
c) Repealing the Affordable Care Act
d) Mandating national provider identifiers for all clinics
Rationale : The IRA enables Medicare price negotiation for 10 high-cost drugs,
expanding to more by 2026, impacting hospital pharmacy budgets.
2. In 2026, the primary driver of increased Medicare Advantage (MA) enrollment
is:
a) Lower premiums than traditional Medicare
b) Expanded supplemental benefits (e.g., meal delivery, transportation, home
modifications)
c) Elimination of prior authorization
d) Mandatory enrollment for dual-eligible beneficiaries
Rationale : MA plans now offer flexible non-medical benefits (CMS 2025 final
rule), attracting seniors seeking whole-person care.
,3. The No Surprises Act (fully enforced by 2026) prohibits:
a) ER co-pays for uninsured patients
b) Balance billing for emergency services from out-of-network providers
c) Prior authorization for specialist visits
d) Telehealth across state lines
Rationale : Patients are only responsible for in-network cost-sharing in
emergencies, reducing surprise medical bills.
4. Which federal agency released the 2026 Health Equity Action Plan requiring
hospitals to report disparities data?
a) FDA
b) HRSA
c) CMS
d) DEA
Rationale : CMS mandates equity data reporting for acute care hospitals as a
condition of Medicare participation (effective Jan 2026).
5. A Medicaid expansion state in 2026 must cover:
a) Only parents with dependent children
b) All adults up to 138% FPL, regardless of dependent status
c) Only pregnant women and children
d) Only SSI recipients
Rationale : The ACA expansion (upheld by courts) covers all low-income adults
in participating states.
6. The 2026 CMS innovation center priority is:
a) Fee-for-service benchmark payments
b) Multi-payer accountable care models for rural health
c) Mandatory bundled payments for all joint replacements
d) Elimination of shared savings programs
Rationale : CMS Innovation Center’s 2026-2030 strategy focuses on rural ACOs
and health equity.
7. Which Supreme Court decision (2025) most impacts hospital M&A activity in
2026?
a) Dobbs v. Jackson Women’s Health (2022)
b) Loper Bright v. Raimondo (2024)
c) NFIB v. Sebelius (2012)
d) King v. Burwell (2015)
, Rationale : Loper Bright ended Chevron deference, increasing judicial review of
FTC merger challenges, leading to more hospital consolidation.
8. The 2026 Medicare Physician Fee Schedule includes a bonus for:
a) Using paper charts
b) Screening for health-related social needs (HRSN)
c) Performing surgery in ASCs
d) Prescribing opioids for chronic pain
Rationale : CMS added G-codes for HRSN (food, housing, transportation)
screening, reimbursing $24/patient.
9. The state-level policy most likely to expand in 2026 to address workforce
shortages is:
a) Lowering nurse-to-patient ratios
b) Interstate licensure compacts (e.g., Nurse Licensure Compact expansion)
c) Eliminating CNA training requirements
d) Banning travel nursing agencies
Rationale : By 2026, 40+ states participate in enhanced Nurse Licensure Compact,
allowing multistate practice.
10. The 2026 SCHIP (CHIP) reauthorization debate focuses on:
a) Reducing coverage to age 18
b) Funding cliffs and continuous eligibility for children through age 6
c) Eliminating dental benefits
d) Requiring work requirements
Rationale : Federal CHIP funding expires September 2027; 2026 debates center on
12-month continuous eligibility.
Section 2: Health Care Finance & Revenue Cycle Management
11. A hospital’s net revenue is:
a) Gross charges minus bad debt
b) Gross patient service revenue less contractual allowances and charity care
c) Cash collected from self-pay patients
d) Total operating expenses plus depreciation
Rationale : Net revenue accounts for contractual adjustments with payers, not just
bad debt.