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Healthcare Financing and Payment Systems Quiz

#1

What is the primary goal of healthcare financing?

To ensure financial sustainability of healthcare systems
Explanation

Ensuring the long-term financial viability of healthcare systems.

#2

What is the purpose of deductibles in health insurance plans?

To discourage unnecessary healthcare utilization
Explanation

Discouraging unnecessary use of healthcare services through upfront costs.

#3

What is the primary objective of health savings accounts (HSAs) in the United States?

To accumulate funds for future medical expenses
Explanation

Accumulating funds for future medical expenses through HSAs.

#4

Which healthcare payment system is based on a fixed, pre-negotiated fee for each service provided?

Fee-for-service (FFS)
Explanation

Charging a predetermined fee for each healthcare service rendered.

#5

In the context of healthcare financing, what does the term 'risk pooling' refer to?

Combining funds to cover the costs of high-risk individuals
Explanation

Pooling resources to cover expenses for high-risk individuals.

#6

Which healthcare payment model focuses on paying providers based on the overall health outcomes of the patients they serve?

Value-based purchasing
Explanation

Compensating providers based on the health outcomes of their patients.

#7

In a social health insurance system, who typically contributes to the financing of healthcare services?

Government, employers, and individuals
Explanation

Funding from the government, employers, and individuals in a collective insurance system.

#8

What is the main purpose of Medicaid in the United States?

To provide healthcare coverage for low-income individuals and families
Explanation

Offering healthcare coverage to low-income individuals and families.

#9

Which of the following is a characteristic of a single-payer healthcare system?

Government-funded healthcare for all citizens
Explanation

Government funding for healthcare coverage for all citizens.

#10

What is the purpose of health insurance exchanges in the United States?

To facilitate the purchase of health insurance plans
Explanation

Streamlining the process of purchasing health insurance plans.

#11

What is the role of a Health Maintenance Organization (HMO) in healthcare delivery?

To manage and coordinate healthcare services for members
Explanation

Managing and coordinating healthcare services for HMO members.

#12

In the context of healthcare financing, what does the term 'moral hazard' refer to?

Tendency to engage in riskier behavior due to insurance coverage
Explanation

Increased risk-taking behavior due to insurance coverage.

#13

In the context of healthcare financing, what is adverse selection?

The tendency for higher-risk individuals to seek more comprehensive insurance coverage
Explanation

Higher-risk individuals opting for more extensive insurance coverage.

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