DYNAMICS OF HEALTHCARE RUTGERS EXAM REVIEW
QUESTIONS AND ANSWERS (LATEST 2025) || 100%
GUARANTEED PASS <RECENT VERSION>
Section 1: The U.S. Healthcare System Structure & Financing
1. What is the primary source of health insurance coverage for
most Americans under age 65?
A. Medicare
B. Medicaid
C. Employer-Sponsored Insurance
D. Military Health Care (Tricare)
2. Which federal program provides health coverage primarily
for individuals aged 65 and older?
A. Medicaid
B. CHIP
C. Medicare
D. The VA Health System
3. Which entity is the single largest payer for healthcare
services in the United States?
A. Blue Cross Blue Shield
B. The Centers for Medicare & Medicaid Services (CMS)
C. UnitedHealth Group
D. Aetna
,4. The "triple aim" of healthcare, a framework developed by
the Institute for Healthcare Improvement, includes all of the
following EXCEPT:
A. Improving the patient experience of care
B. Reducing the per capita cost of care
C. Improving the health of populations
D. Increasing physician salaries
5. What is the term for the amount an insured person must
pay out-of-pocket before the insurance company begins to pay
for covered services?
A. Copayment
B. Coinsurance
C. Premium
D. Deductible
6. A fixed amount (e.g., $20) paid by the insured for a covered
healthcare service is called a:
A. Deductible
B. Coinsurance
C. Copayment
D. Premium
7. What type of health plan typically requires patients to
choose a Primary Care Physician (PCP) and get referrals to see
specialists?
A. Preferred Provider Organization (PPO)
, B. Health Maintenance Organization (HMO)
C. Point of Service (POS) Plan
D. High-Deductible Health Plan (HDHP)
8. Which organization accredits the majority of U.S. hospitals?
A. Agency for Healthcare Research and Quality (AHRQ)
B. State Departments of Health
C. The Joint Commission
D. National Committee for Quality Assurance (NCQA)
9. What is the term for a payment model where providers are
paid a fixed amount per patient per month, regardless of the
number of services provided?
A. Fee-for-Service
B. Capitation
C. Bundled Payment
D. Pay-for-Performance
10. The traditional, volume-based model of paying for each
individual service (e.g., a test, a visit) is called:
A. Value-Based Purchasing
B. Capitation
C. Fee-for-Service
D. Global Budgeting
Section 2: Access, Disparities, and the Uninsured
QUESTIONS AND ANSWERS (LATEST 2025) || 100%
GUARANTEED PASS <RECENT VERSION>
Section 1: The U.S. Healthcare System Structure & Financing
1. What is the primary source of health insurance coverage for
most Americans under age 65?
A. Medicare
B. Medicaid
C. Employer-Sponsored Insurance
D. Military Health Care (Tricare)
2. Which federal program provides health coverage primarily
for individuals aged 65 and older?
A. Medicaid
B. CHIP
C. Medicare
D. The VA Health System
3. Which entity is the single largest payer for healthcare
services in the United States?
A. Blue Cross Blue Shield
B. The Centers for Medicare & Medicaid Services (CMS)
C. UnitedHealth Group
D. Aetna
,4. The "triple aim" of healthcare, a framework developed by
the Institute for Healthcare Improvement, includes all of the
following EXCEPT:
A. Improving the patient experience of care
B. Reducing the per capita cost of care
C. Improving the health of populations
D. Increasing physician salaries
5. What is the term for the amount an insured person must
pay out-of-pocket before the insurance company begins to pay
for covered services?
A. Copayment
B. Coinsurance
C. Premium
D. Deductible
6. A fixed amount (e.g., $20) paid by the insured for a covered
healthcare service is called a:
A. Deductible
B. Coinsurance
C. Copayment
D. Premium
7. What type of health plan typically requires patients to
choose a Primary Care Physician (PCP) and get referrals to see
specialists?
A. Preferred Provider Organization (PPO)
, B. Health Maintenance Organization (HMO)
C. Point of Service (POS) Plan
D. High-Deductible Health Plan (HDHP)
8. Which organization accredits the majority of U.S. hospitals?
A. Agency for Healthcare Research and Quality (AHRQ)
B. State Departments of Health
C. The Joint Commission
D. National Committee for Quality Assurance (NCQA)
9. What is the term for a payment model where providers are
paid a fixed amount per patient per month, regardless of the
number of services provided?
A. Fee-for-Service
B. Capitation
C. Bundled Payment
D. Pay-for-Performance
10. The traditional, volume-based model of paying for each
individual service (e.g., a test, a visit) is called:
A. Value-Based Purchasing
B. Capitation
C. Fee-for-Service
D. Global Budgeting
Section 2: Access, Disparities, and the Uninsured
