#1
Which of the following is NOT a primary payment model in healthcare?
Transactional Payment
ExplanationTransactional Payment is not a primary payment model in healthcare.
#2
What is the primary goal of Value-Based Care payment models?
To improve patient outcomes and reduce costs
ExplanationThe primary goal of Value-Based Care payment models is to improve patient outcomes and reduce costs.
#3
Which of the following payment models focuses on paying healthcare providers based on the quality and effectiveness of care delivered?
Value-Based Care
ExplanationValue-Based Care focuses on paying healthcare providers based on the quality and effectiveness of care delivered.
#4
What does 'Capitation' refer to in healthcare payment models?
Payment per patient enrolled, regardless of services provided
Explanation'Capitation' refers to payment per patient enrolled, regardless of services provided, in healthcare payment models.
#5
What is bundled payment in healthcare?
A single payment for all healthcare services provided during a specific time period
ExplanationBundled payment in healthcare refers to a single payment for all healthcare services provided during a specific time period.
#6
Which of the following is a characteristic of a global payment model?
Providers receive a fixed amount per patient regardless of services provided
ExplanationA characteristic of a global payment model is that providers receive a fixed amount per patient regardless of services provided.
#7
Which of the following is a characteristic of a Shared Savings Program in healthcare?
Providers receive bonuses for reducing healthcare costs while meeting quality benchmarks
ExplanationA characteristic of a Shared Savings Program in healthcare is that providers receive bonuses for reducing healthcare costs while meeting quality benchmarks.
#8
In which payment model are healthcare providers reimbursed for each specific service provided to a patient?
Fee-for-Service
ExplanationHealthcare providers are reimbursed for each specific service provided to a patient in the Fee-for-Service payment model.
#9
In the Pay-for-Performance (P4P) model, payment is typically based on which of the following?
Quality and efficiency of care delivered
ExplanationIn the Pay-for-Performance (P4P) model, payment is typically based on the quality and efficiency of care delivered.
#10
Which of the following is a potential benefit of Value-Based Care payment models?
Improving patient outcomes and reducing costs
ExplanationA potential benefit of Value-Based Care payment models is improving patient outcomes and reducing costs.
#11
What is the primary goal of Alternative Payment Models (APMs) in healthcare?
To promote innovative payment models that improve quality and reduce costs
ExplanationThe primary goal of Alternative Payment Models (APMs) in healthcare is to promote innovative payment models that improve quality and reduce costs.
#12
Which of the following payment models aims to shift the focus from volume to value in healthcare?
Value-Based Care
ExplanationValue-Based Care aims to shift the focus from volume to value in healthcare.