HSA 464 Test 2 2025/2026 Exam
Questions and Answers 100%
Guaranteed Success | Already Rated A+
Practice questions (ch. 5,6,7) - 🧠ANSWER ✔✔
The most common third-party payers in the United States healthcare
system are - 🧠ANSWER ✔✔the government and insurance companies
Third-party payers are - 🧠ANSWER ✔✔agents of patients that contract with
providers to pay patients medical bills
Which organization offered prepaid medical care to school teachers? -
🧠ANSWER ✔✔Baylor University Hospital
Under a direct service plan, the employer prepays ______ to take care of
its employees. - 🧠ANSWER ✔✔specific hospitals and physicians
,Under a commercial indemnity plan, the employer pays ______, which
reimburses ______. - 🧠ANSWER ✔✔an insurance company; a hospital or
physician of the employees' choosing
Which three aspects of healthcare do managed care organizations
address? - 🧠ANSWER ✔✔Quality, access, cost
______ plans allow members to seek care from a provider outside the
network for a higher premium, coinsurance rate, or deductible. - 🧠ANSWER
✔✔POS
The Affordable Care Act of 2010 set out to - 🧠ANSWER ✔✔-Provide
insurance to the 32 million Americans still uninsured
-Require individuals to have health insurance
-Reduce the rate of increase for Medicare and Medicaid spending
Most providers agree that ______ is the best way to be reimbursed. -
🧠ANSWER ✔✔charges
Which provisions reduced Disproportionate Share Hospital payments? -
🧠ANSWER ✔✔Bundled payment projects
, Medicare Part ______ covers hospital services, whereas Medicare Part
______ covers physician services. - 🧠ANSWER ✔✔A; B
In 2010, Medicare was financed through which three primary sources? -
🧠ANSWER ✔✔General tax revenue, beneficiary premiums, payroll tax
contributions
Resource-based relative value systems reimburse ______ for services
provided to Medicare beneficiaries. - 🧠ANSWER ✔✔Physicians
Why are healthcare expenditures disproportionately higher for people aged
65 or older? - 🧠ANSWER ✔✔-This population utilizes a significant amount
of services
-Elderly people tend to have more chronic illnesses
-This population uses healthcare services at a much higher rate than the
population under age 65 does
The "donut hole," as created by Medicare Part D, refers to - 🧠ANSWER
✔✔a gap in coverage requiring all beneficiaries to pay out of pocket for all
prescriptions
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
Questions and Answers 100%
Guaranteed Success | Already Rated A+
Practice questions (ch. 5,6,7) - 🧠ANSWER ✔✔
The most common third-party payers in the United States healthcare
system are - 🧠ANSWER ✔✔the government and insurance companies
Third-party payers are - 🧠ANSWER ✔✔agents of patients that contract with
providers to pay patients medical bills
Which organization offered prepaid medical care to school teachers? -
🧠ANSWER ✔✔Baylor University Hospital
Under a direct service plan, the employer prepays ______ to take care of
its employees. - 🧠ANSWER ✔✔specific hospitals and physicians
,Under a commercial indemnity plan, the employer pays ______, which
reimburses ______. - 🧠ANSWER ✔✔an insurance company; a hospital or
physician of the employees' choosing
Which three aspects of healthcare do managed care organizations
address? - 🧠ANSWER ✔✔Quality, access, cost
______ plans allow members to seek care from a provider outside the
network for a higher premium, coinsurance rate, or deductible. - 🧠ANSWER
✔✔POS
The Affordable Care Act of 2010 set out to - 🧠ANSWER ✔✔-Provide
insurance to the 32 million Americans still uninsured
-Require individuals to have health insurance
-Reduce the rate of increase for Medicare and Medicaid spending
Most providers agree that ______ is the best way to be reimbursed. -
🧠ANSWER ✔✔charges
Which provisions reduced Disproportionate Share Hospital payments? -
🧠ANSWER ✔✔Bundled payment projects
, Medicare Part ______ covers hospital services, whereas Medicare Part
______ covers physician services. - 🧠ANSWER ✔✔A; B
In 2010, Medicare was financed through which three primary sources? -
🧠ANSWER ✔✔General tax revenue, beneficiary premiums, payroll tax
contributions
Resource-based relative value systems reimburse ______ for services
provided to Medicare beneficiaries. - 🧠ANSWER ✔✔Physicians
Why are healthcare expenditures disproportionately higher for people aged
65 or older? - 🧠ANSWER ✔✔-This population utilizes a significant amount
of services
-Elderly people tend to have more chronic illnesses
-This population uses healthcare services at a much higher rate than the
population under age 65 does
The "donut hole," as created by Medicare Part D, refers to - 🧠ANSWER
✔✔a gap in coverage requiring all beneficiaries to pay out of pocket for all
prescriptions
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
