HCM 400 Mastery Exercises
HCM 400 Mastery Exercises
Week 1
1. The function of insurance is to:
a. Pay a portion of an individual’s medical expenses according to the terms in the policy
2. Blue Cross originated from a pre-paid health plan for teachers that was developed by Baylor hospital in 1929. Which statement represents the motivation for developing this plan?
a. NOT: Baylor Hospital felt that this pre-paid health plan would lower its operating costs
b. Baylor hospital wanted to establish a revenue stream for participating providers during the Great Depression
3. In what year was the first prepaid medical group established?
a. 1910
4. one of the significant changes in the management of managed care organizations (MCOs) that occurred in the 1990s was:
a. consolidation of managed care organizations
5. managed care is best described as:
a. a broad and constantly changing array of health plans, employers, unions, and other purchasers of care that attempt to manage cost, quality, and access to health care
6. who has the final responsibility for all aspects of an independent health maintenance organization?
a. The Board of Directors
7. Which of the following HAS NOT contributed to increased health care costs in recent years?
a. Increased number of people buying health insurance
8. Consumer Operated and Oriented Plans (CO-Ops) are a type of health payer that offers coverage through new state health insurance exchanges (Exchanges). Which of the following statements regarding Exchanges is FALSE?
a. Exchanges are an optional component of the ACA
9. The overall purpose of the Patient Protection and Affordable Care Act of 2010 is to:
a. Improve access to health care coverage for people in the U.S.
10. In what model does a HMO contract with more than one group practice to provide medical services to its members?
a. Network model
11. With the passage of the `965 entitlement programs, Medicare and Medicaid, the majority of health care expenses were being paid by _______.
a. Third-party payers
12. The
Week 1
1. The function of insurance is to:
a. Pay a portion of an individual’s medical expenses according to the terms in the policy
2. Blue Cross originated from a pre-paid health plan for teachers that was developed by Baylor hospital in 1929. Which statement represents the motivation for developing this plan?
a. NOT: Baylor Hospital felt that this pre-paid health plan would lower its operating costs
b. Baylor hospital wanted to establish a revenue stream for participating providers during the Great Depression
3. In what year was the first prepaid medical group established?
a. 1910
4. one of the significant changes in the management of managed care organizations (MCOs) that occurred in the 1990s was:
a. consolidation of managed care organizations
5. managed care is best described as:
a. a broad and constantly changing array of health plans, employers, unions, and other purchasers of care that attempt to manage cost, quality, and access to health care
6. who has the final responsibility for all aspects of an independent health maintenance organization?
a. The Board of Directors
7. Which of the following HAS NOT contributed to increased health care costs in recent years?
a. Increased number of people buying health insurance
8. Consumer Operated and Oriented Plans (CO-Ops) are a type of health payer that offers coverage through new state health insurance exchanges (Exchanges). Which of the following statements regarding Exchanges is FALSE?
a. Exchanges are an optional component of the ACA
9. The overall purpose of the Patient Protection and Affordable Care Act of 2010 is to:
a. Improve access to health care coverage for people in the U.S.
10. In what model does a HMO contract with more than one group practice to provide medical services to its members?
a. Network model
11. With the passage of the `965 entitlement programs, Medicare and Medicaid, the majority of health care expenses were being paid by _______.
a. Third-party payers
12. The