Answer Options:
True
False
Answer: False
Question: Health care managers have two primary roles in managing health insurance: providing coverage for employees and managing the billing and reimbursement process for patient claims.
Answer Options:
True
False
Answer: True
Question: Which of the following is a potential barrier to successful execution of a strategic plan?
Answer Options:
A. Not enough strategies to implement.
B. Strategies that do not align with the organization’s culture.
C. Lack of focus on the strategies.
D. Both strategies that do not align with the organization’s culture and a lack of focus on the strategies.
E. All of these are correct.
Answer: D. Both strategies that do not align with the organization’s culture and a lack of focus on the strategies.
Question: Within the FOCUS-PDCA model, the letter U represents:
Answer Options:
A. organizing a team
B. identifying measures, collecting data, and analyzing them
C. determining the quality improvement process to implement
D. tying in processes to improve
E. flowcharting the process and documenting the sequence of activities
Answer: B. identifying measures, collecting data, and analyzing them
Question: Which of the following quality improvement techniques helps to identify and organize the possible cause for a problem in a structured format?
Answer Options:
A. Process analysis
B. Fishbone diagram mapping
C. Bar graph display
D. Process mapping
E. Data collection
Answer: B. Fishbone diagram mapping
Question: True or False? Premium payments for individual health insurance plans reached more than $19,000 in 2018.
Answer Options:
True
False
Answer: False
Question: Which of the following is true regarding many of those who are uninsured?
Answer Options:
A. Workers who are employed in industries that do not provide health insurance.
B. Do not have access to routine health care.
C. Are African American.
D. All of these are correct.
Answer: D. All of these are correct.
Question: Private health insurance includes only payments by employers for health care coverage.
Answer Options:
True
False
Answer: False
Question: The internal domain of health care management includes which of the following?
Answer Options:
(A) Strategic planning
(B) Budgeting
(C) Managed care organizations
(D) Community demographics
Answer: (B) Budgeting
Question: True or False? Medicaid is a major funder of safety-net hospitals, health centers, and behavioral health care, but is not involved in supporting long-term care services.
Answer Options:
True
False
Answer: False
Question: Medicaid programs are not uniform across the states.
Answer Options:
True
False
Answer: True
Question: Issues relating to TRICARE’s ability to provide care include providing care in rural areas, treating veterans with traumatic brain injuries, and providing rehab services to soldiers injured in 21st-century wars.
Answer Options:
True
False
Answer: True
Question: Avedis Donabedian defined quality in terms of which of the following?
Answer Options:
A. Best practices
B. Cost, access, and quality
C. Quality, efficiency, and effectiveness
D. Structure, process, and outcome
Answer: D. Structure, process, and outcome
Question: What is the role of the manager in the strategic planning process?
Answer Options:
A. To monitor his or her area of expertise in terms of market developments
B. To provide input to the planning department and senior management on an ongoing basis
C. To monitor and control targeted strategies over time
D. To communicate strategies and rationales to staff
E. All of these are correct.
Answer: E. All of these are correct.
Question: True or False? Medicare is experimenting with Accountable Care Organizations in an effort to reduce costs, while Medicaid is not involved in this.
Answer Options:
True
False
Answer: False
Question: Strategic plans are the most detailed plans.
Answer Options:
False
True
Answer: False
Question: Ideally, who should provide input in the development of the strategic plan?
Answer Options:
A. Physicians and other providers
B. Volunteers
C. Senior management
D. All of these are correct.
E. Physicians, other providers, and senior management
Answer: D. All of these are correct.
Question: For which of the following groups of low-income individuals does Medicaid provide coverage?
Answer Options:
A. Those who receive Temporary Aid to Needy Families (TANF) assistance
B. Those who receive Supplemental Security Income (SSI) assistance
C. Those who are pregnant
D. Those who are elderly
E. All of these are correct.
Answer: E. All of these are correct.
Question: True or False? All states expanded their Medicaid Programs as part of the Affordable Care Act.
Answer Options:
True
False
Answer: False
Question: True or False? Provider choice is unlimited under all types of health insurance plans.
Answer Options:
True
False
Answer: False