Deck 5: Reimbursement Models to Support Value-Based Care

Question 1

In economics value is defined:

A) The price of a good
B) How much a good is worth
C) What that individual would be willing to pay for a good in monetary terms or give up in terms of other resources or time to receive
D) A person's standard of behavior

Answer 1

C

Question 2

According to the World Health Organization health is defined as:

A) The absence of disease
B) What individual's toast to when sharing a beverage
C) State of complete physical, mental and social well-being
D) The general condition of the body

Answer 2

C

Question 3

In healthcare value is defined:

A) Patient health outcome achieved per dollar spent
B) Feeling better after treatment
C) Cured of an illness after treatment
D) The number of services provided to an individual during an episode of illness

Answer 3

A

Question 4

According to the Institute for Healthcare Improvement, the elements of the Triple Aim are:

A) Provider experience, per capita cost, population health
B) Experience of care, per capita cost, population health
C) Caregiver experience, per capita cost, population health
D) Experience of care, per capita cost, individual health

Question 5

Demand in economics is:

A) Something claimed or due as owed
B) An urgent need
C) The amount of a product available for sale
D) A buyer's willingness to buy a product at a given price

Question 6

The CMS Bundled Payments for Care Improvement (BPCI) Model 2 includes: All of the following are confounding factors that make healthcare not follow economic principles except:

A) Discounted fixed payment for inpatient stay
B) Retrospective Acute Care Hospital Stay Plus Post-Acute Care
C) Retrospective Post-Acute Case Only
D) Prospective Acute Care Hospital Stay Only

Question 7

Medicare is government sponsored healthcare for all of the following except:

A) Above the age of 65
B) Disabled
C) Pregnant Mothers
D) End-Stage Renal Disease

Question 8

Fee-for-Service is associated with:

A) Payment on a per click basis
B) Payment for a mutually agreed upon outcome
C) Inclusive payment for an episode of care
D) Payment for rapid access to care

Question 9

Examples of condition or service line programs include all of the following except:

A) Bundled payment for joint replacement
B) Oncology care model
C) Bundled payment for open-heart surgery
D) Daily visit payment for home care

Question 10

Accountable care organizations:

A) Are integrations of health care providers across the continuum that deliver care
B) Only provide care for Medicaid members
C) Provide hospital care only
D) Take downside risk all the time