Trivium Healthcare Systems and Operations 2

Question 1

Which federal program primarily provides health insurance coverage for individuals aged 65 and older?

Accepted Answer

Medicare

Answer

Medicare is the federal health insurance program for people aged 65 and older, as well as certain younger people with disabilities.

Question 2

What is the primary purpose of a formulary in a health insurance plan?

Accepted Answer

To specify covered prescription drugs and their cost tiers

Answer

A formulary is a list of prescription drugs covered by an insurance plan, often organized into tiers that determine patient cost-sharing amounts.

Question 3

In hospital operations, what does the term 'census' refer to?

Accepted Answer

The number of patients currently admitted

Answer

Hospital census refers to the number of inpatients present in the facility at a given time, used to manage staffing and resources.

Question 4

Which accreditation body sets standards for hospitals and healthcare organizations in the United States?

Accepted Answer

The Joint Commission (TJC)

Answer

The Joint Commission is an independent, nonprofit organization that accredits and certifies healthcare organizations based on established performance standards.

Question 5

What is 'capitation' in the context of managed care payment models?

Accepted Answer

A fixed monthly payment per enrolled patient regardless of services used

Answer

Capitation is a payment model where a provider receives a fixed amount per enrolled member per month, regardless of how many services that member uses.

(Trivium) Trivium Health Care Exam Practice Test

(Trivium) Trivium Health Care Exam Practice Test

Trivium Healthcare Systems and Operations 2