1. What is the primary goal of Medicare's Value-Based Purchasing (VBP) program? A. To reduce healthcare costs B. To improve patient care C. To penalize underperforming hospitals D. To increase Medicare enrollment Answer: B. To improve patient care Rationale: The VBP program aims to provide incentives for high-quality patient care by adjusting payments to hospitals based on their performance. 2. Which legislation introduced the Medicare Access and CHIP Reauthorization Act (MACRA)? A. The Affordable Care Act B. The Social Security Amendments of 1965 C. The Patient Protection Act D. The Balanced Budget Act of 1997 Answer: A. The Affordable Care Act Rationale: MACRA was introduced as part of the Affordable Care Act to reform Medicare payments and extend the Children's Health Insurance Program (CHIP). 3. Demonstration projects in Medicare are designed to test what aspect of healthcare delivery? A. Efficiency of electronic health records B. Effectiveness of new payment models C. Impact of telemedicine D. All of the above Answer: D. All of the above Rationale: Demonstration projects explore various aspects of healthcare delivery, including new payment models, service delivery methods, and the use of technology like electronic health records and telemedicine. 4. The Hospital Readmissions Reduction Program (HRRP) seeks to reduce readmissions for which conditions? A. Elective surgeries