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HFMA CSPR COURSE 1 OVERVIEW OF MANAGED CARE COMPREHENSIVE REVIEW Q & A 2024

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HFMA CSPR COURSE 1 OVERVIEW OF MANAGED CARE COMPREHENSIVE REVIEW Q & A 2024HFMA CSPR COURSE 1 OVERVIEW OF MANAGED CARE COMPREHENSIVE REVIEW Q & A 2024HFMA CSPR COURSE 1 OVERVIEW OF MANAGED CARE COMPREHENSIVE REVIEW Q & A 2024

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HFMA CSPR


Course 1
Final Exam Review

Q&A

2024

,1. What is the primary goal of public policy?
- A) To regulate the economy
- B) To promote social welfare
- C) To ensure national security
- D) To encourage technological innovation
Answer: B) To promote social welfare
Rationale: While public policy can serve various purposes, its primary
goal is to address social issues and enhance the welfare of the public.

2. Which economic theory emphasizes the role of government intervention
in correcting market failures?
- A) Classical economics
- B) Keynesian economics
- C) Neoclassical economics
- D) Austrian economics
Answer: B) Keynesian economics
Rationale: Keynesian economics advocates for government intervention
to stabilize the economy and correct market failures.

3. What is a negative externality?
- A) A benefit that affects a party who did not choose to incur that
benefit
- B) A cost incurred by a third party who has no control over the
creation of that cost
- C) The additional cost borne by producers in the production of a good
- D) The additional revenue gained from selling a good
Answer: B) A cost incurred by a third party who has no control over the
creation of that cost
Rationale: Negative externalities occur when the production or
consumption of a good or service imposes a cost upon a third party.

... (Questions 4-14 would follow the same format, covering various topics
such as fiscal policy, regulatory economics, competition policy, and the
impact of public policy on market performance)

15. How does antitrust policy contribute to market performance?
- A) By promoting monopolistic practices

, - B) By encouraging price-fixing agreements
- C) By preventing mergers that would lead to excessive market power
- D) By reducing consumer choice
Answer: C) By preventing mergers that would lead to excessive market
power
Rationale: Antitrust policy aims to prevent anti-competitive practices
and ensure fair competition, which contributes to healthy market
performance.


Which of the following best describes managed care?
A. A healthcare system that focuses on cost containment
B. A type of insurance plan that covers only emergency services
C. A model of care that emphasizes patient autonomy
D. An approach that encourages unnecessary medical procedures

Answer: A. A healthcare system that focuses on cost containment
Rationale: Managed care aims to control healthcare costs while
maintaining quality by coordinating services and managing resources
efficiently.

What is the primary goal of utilization management in managed care?
A. Maximizing profits for healthcare providers
B. Ensuring appropriate use of healthcare services
C. Limiting access to necessary treatments
D. Increasing administrative costs for patients

Answer: B. Ensuring appropriate use of healthcare services
Rationale: Utilization management helps ensure that patients receive
necessary care in the most cost-effective manner.

Which entity is responsible for making coverage decisions in a managed
care organization?
A. Patients
B. Employers
C. Health insurance companies
D. Government agencies

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