Deck 12: Coordinated Care Delivery Models

Question 1

Which of the following is not an alternative payment model:

A) Merit Based Physician Incentive Payment
B) Health Insurance Portability and Accountability Act (HIPAA)
C) Accountable Care Organization
D) Bundled Payment for Care Improvement

Answer 1

B

Question 2

An Accountable Care Organization's goals include the following except:

A) Improved outcomes for patients
B) Lower total cost of care
C) Increase in Emergency Room Department visits and hospital admissions
D) Improved care coordination

Answer 2

C

Question 3

Strategies to improve an Accountable Care Organization's performance include all except:

A) The ability to risk stratify populations
B) Proactive management of patient attribution
C) Identification of and preferential referral to high-value providers
D) Paying physicians for participation

Answer 3

D

Question 4

Patient-Centered Medical Home tenets include:

A) Access to Care
B) Physician availability seven days per week
C) Use of Advanced Practice Providers
D) Hospital admitting privileges

Question 5

Care Coordination is all of the following except:

A) Ensuring follow up from specialist visits
B) Understanding where patients are on the continuum of care
C) Aimed at managing the sickest and most at risk patients
D) Exclusively performed by a Social Worker

Question 6

Bundled payment models require coordinating the care provided by

A) Hospitals
B) Specialists
C) Skilled Nursing Facilities
D) All of the above

Question 7

Services that Medicare now covers under their regular physician fee schedule that align with coordinated care include

A) Telephonic check in with patient
B) Transition of Care management for 30 days
C) Chronic Care Management for 30 days
D) All of the above

Question 8

The Comprehensive Primary Care Plus program is an Alternative Payment Model which

A) Applies only to Medicare patients
B) Pays a monthly care coordination fee per patient to the PCP
C) Pays specialists a bonus for good chronic disease management
D) Penalizes hospitals for readmissions

Question 9

An Accountable Care Organization is responsible for coordinating all except

A) Hospitalizations out of area
B) Home Health services
C) Price of medications
D) Chronic disease management

Question 10

The technology-based tool that has the biggest benefit to care coordination is:

A) Blood glucose monitoring in patients with diabetes
B) Real-time alerts to care team of patient's emergency department visits
C) Text messaging between physicians
D) Electronic prescribing