Question

In general, Medicare pays hospitals

Question options:

	Based on fees that are negotiated with hospitals for each service they provide
	Hospital services are not covered by Medicare
	Through a "bundled payment" system that offers a fixed price for all hospital services delivered during a hospital stay
	Through a shared savings program that rewards hospitals for saving money
	Based on what hospitals charge for each service they provide

Which of the following is true about the source of insurance?

Question options:

	Most Americans receive health insurance through Medicare.
	Most Americans do not have health insurance
	Most Americans receive health insurance through employer-sponsored health insurance
	Most Americans receive health insurance through Medicaid
	Most Americans buy health insurance policies as individuals

Which of the following is true of the Medicare program?

Question options:

	All Americans older than 65 must participate
	The distribution of its beneficiaries across insurance products is very different from private insurance
	It has, since its inception, covered hospital care, ambulatory care, and prescription drugs
	It is administered by the federal government but jointly financed by the states and the federal government
	All of the above

Which of the following is true?

Question options:

	Individuals pay a relatively small percentage of the annual cost of their insurance
	Individuals pay a copayment that is a relatively small percentage of the cost of most services they use
	Individuals with private health insurance - particularly those with employer-sponsored health insurance - pay (and likely to pay in the future) a larger share of the cost associated with their healthcare than individuals with Medicare and Medicaid
	All of the above

Which of the following is true?

Question options:

	Accountable-care organizations (ACOs) are delivery system entities that are emerging in response to financial incentives to reduce the cost and improve the quality of healthcare
	Patient-centered medical homes (PCMHs) are nursing homes that are designed to assist patients to make the transition from hospital care to home care
	The Medicare Shared Savings Program (MSSP) is a way that Medicare beneficiaries can share in savings that derive from their efforts to take better care of themselves
	Bundled payment programs are an exciting innovation, but to date there is very little experience with them
	All of the above

Which of the following are NOT insurance products commonly offered in the United States?

Question options:

	Consumer-Directed Health Plans (CDHPs) and Health Savings Accounts (HSAs)
	Traditional/open-access health insurance plans
	Preferred Provider Organizations (PPOs) and Health Maintenance Organizations (HMOs)
	Independent Practice Associations (IPAs) and Patient-Centered Medical Homes (PCMHs)

Answer 1

Question 1:

Answer: Based on fees that are negotiated with hospitals for each service they provide (Option 1)

Explanation: Medicare negotiates with the hospitals based on the fees.

Question 2:

Answer:Most Americans receive health insurance through employer-sponsored health insurance

Explanation: Around 60% of Americans get insurance through their employers.

Question 3:

Answer:It is administered by the federal government but jointly financed by the states and the federal government

Explanation: It is aimed mainly for people of age more than 65.

Question 4:

Answer:Individuals with private health insurance - particularly those with employer-sponsored health insurance - pay (and likely to pay in the future) a larger share of the cost associated with their healthcare than individuals with Medicare and Medicaid

Question 5:

Answer: All the above (Option E)

Explanation: All the given information about ACO's , PCMH's and MSSP are correct.

Question 6:

Answer:Traditional / open access health insurance plans