Health Care Financing and Payment

Description: This quiz will test your knowledge on Health Care Financing and Payment.
Number of Questions: 15
Created by:
Tags: health care financing payment health insurance medicare medicaid
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What is the primary source of health insurance in the United States?

  1. Employer-sponsored insurance

  2. Government-sponsored insurance

  3. Individual insurance

  4. Charity care


Correct Option: A
Explanation:

Employer-sponsored insurance is the primary source of health insurance in the United States, covering approximately 60% of the population.

Which government program provides health insurance to people aged 65 and older, as well as to certain younger people with disabilities?

  1. Medicare

  2. Medicaid

  3. CHIP

  4. TRICARE


Correct Option: A
Explanation:

Medicare is a government program that provides health insurance to people aged 65 and older, as well as to certain younger people with disabilities.

Which government program provides health insurance to low-income individuals and families?

  1. Medicare

  2. Medicaid

  3. CHIP

  4. TRICARE


Correct Option: B
Explanation:

Medicaid is a government program that provides health insurance to low-income individuals and families.

Which government program provides health insurance to children from low-income families?

  1. Medicare

  2. Medicaid

  3. CHIP

  4. TRICARE


Correct Option: C
Explanation:

CHIP is a government program that provides health insurance to children from low-income families.

Which government program provides health insurance to active-duty military personnel, their families, and retirees?

  1. Medicare

  2. Medicaid

  3. CHIP

  4. TRICARE


Correct Option: D
Explanation:

TRICARE is a government program that provides health insurance to active-duty military personnel, their families, and retirees.

What is the term for the amount of money that a patient pays out-of-pocket for healthcare services?

  1. Copay

  2. Deductible

  3. Coinsurance

  4. Premium


Correct Option: A
Explanation:

Copay is the term for the amount of money that a patient pays out-of-pocket for healthcare services.

What is the term for the amount of money that a patient must pay before their health insurance begins to cover the cost of their healthcare services?

  1. Copay

  2. Deductible

  3. Coinsurance

  4. Premium


Correct Option: B
Explanation:

Deductible is the term for the amount of money that a patient must pay before their health insurance begins to cover the cost of their healthcare services.

What is the term for the percentage of the cost of healthcare services that a patient is responsible for paying after they have met their deductible?

  1. Copay

  2. Deductible

  3. Coinsurance

  4. Premium


Correct Option: C
Explanation:

Coinsurance is the term for the percentage of the cost of healthcare services that a patient is responsible for paying after they have met their deductible.

What is the term for the monthly fee that a patient pays to their health insurance company?

  1. Copay

  2. Deductible

  3. Coinsurance

  4. Premium


Correct Option: D
Explanation:

Premium is the term for the monthly fee that a patient pays to their health insurance company.

What is the term for the process of transferring the financial risk of healthcare costs from one party to another?

  1. Risk pooling

  2. Risk management

  3. Risk assessment

  4. Risk mitigation


Correct Option: A
Explanation:

Risk pooling is the term for the process of transferring the financial risk of healthcare costs from one party to another.

What is the term for the system in which healthcare providers are paid a fixed amount for each patient, regardless of the amount of care that the patient receives?

  1. Capitation

  2. Fee-for-service

  3. Pay-for-performance

  4. Value-based care


Correct Option: A
Explanation:

Capitation is the term for the system in which healthcare providers are paid a fixed amount for each patient, regardless of the amount of care that the patient receives.

What is the term for the system in which healthcare providers are paid based on the quality of care that they provide?

  1. Capitation

  2. Fee-for-service

  3. Pay-for-performance

  4. Value-based care


Correct Option: C
Explanation:

Pay-for-performance is the term for the system in which healthcare providers are paid based on the quality of care that they provide.

What is the term for the system in which healthcare providers are paid based on the value of the care that they provide?

  1. Capitation

  2. Fee-for-service

  3. Pay-for-performance

  4. Value-based care


Correct Option: D
Explanation:

Value-based care is the term for the system in which healthcare providers are paid based on the value of the care that they provide.

What is the term for the process of evaluating the quality of healthcare services?

  1. Quality assurance

  2. Quality control

  3. Quality improvement

  4. Performance measurement


Correct Option: A
Explanation:

Quality assurance is the term for the process of evaluating the quality of healthcare services.

What is the term for the process of making changes to healthcare services in order to improve their quality?

  1. Quality assurance

  2. Quality control

  3. Quality improvement

  4. Performance measurement


Correct Option: C
Explanation:

Quality improvement is the term for the process of making changes to healthcare services in order to improve their quality.

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