HADM 6100 Final Exam 2026 (120 Questions) – Medicare & Medicaid, ACA Policy, Insurance Models, PPS & Health System Reform Complete Q&A

This document contains approximately 120 final exam questions with verified correct answers for HADM 6100 Final Exam 2026 . The material comprehensively covers U.S. healthcare financing structures, including Medicare Parts A and B, Medicaid eligibility and state financing requirements, SCHIP expansion, premium subsidies (up to 400% FPL), employer-sponsored insurance origins during World War II wage freezes, and the role of private insurance in risk pooling. It also explores insurance concepts such as deductibles, copayments, premiums, capitation, community rating, moral hazard, and pay-for-value reimbursement models. The exam thoroughly examines health policy and reform, including the passage and provisions of the Affordable Care Act (2010), essential health benefits, Medicaid expansion, the Sunshine Act, and managed care reforms. It addresses prospective payment systems (PPS) based on DRGs, hospital downsizing incentives, fee-for-service utilization patterns, mergers and acquisitions, diversification strategies, nonprofit tax exemption status, hospital governance responsibilities, and proprietary hospital ownership structures. Additional content includes the history of U.S. hospitals (serving primarily the poor), the Flexner Report’s impact on medical education standards, the role of the FDA and the Prescription Drug User Fee Act (1992), the imperfect healthcare market structure, diffusion of medical technology, and administrative cost comparisons. Long-term care policy topics such as family caregivers as the backbone of care, skilled nursing facility coverage under Medicare Part A, hospice eligibility, Olmstead v. LC (1999) integration mandate, and mental health parity issues are also examined. The document further discusses workforce trends (specialization growth, group practice expansion), AI integration in clinical decision-making, ethical and operational implications, managed care contracting pressures, and disparities in access among young adults ages 18–25. Policy analysis questions require applied reasoning regarding ACA accomplishments, PPS financial incentives, fee-for-service utilization dynamics, and market imperfections. This resource aligns closely with graduate-level Health Administration, Health Policy, Health Economics, and Managed Care courses. It is ideal for MHA, MPH, healthcare management, and health systems students preparing for comprehensive final examinations or policy-focused assessments. Keywords: HADM 6100 final exam, Medicare Part A financing, Medicaid state funding requirement, Affordable Care Act 2010 provisions, essential health benefits ACA, DRG prospective payment system, fee for service utilization, capitation reimbursement model, moral hazard health insurance, community rating premiums, Sunshine Act disclosure requirement, employer based insurance history, Flexner Report 1910, SCHIP Medicaid expansion, hospice eligibility Medicare, Olmstead v LC 1999 ruling, imperfect healthcare market US, hospital mergers and acquisitions, nonprofit hospital tax exemption, pay for value reimbursement