Healthcare Delivery Models and Payment Systems Quiz
Explore healthcare economics with questions on delivery models, payment systems, and reimbursement methods. Test yourself now!
#1
Which of the following healthcare delivery models emphasizes preventive care and coordination?
Fee-for-service
Accountable Care Organization (ACO)
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
#2
What is a characteristic of a capitation payment model in healthcare?
Providers are paid based on the number of services they provide.
Providers are paid a fixed amount per patient regardless of the services provided.
Patients pay out-of-pocket for each service they receive.
Patients receive a refund for unused healthcare services.
#3
Which payment model rewards healthcare providers for meeting specific quality and efficiency benchmarks?
Fee-for-service
Capitation
Value-based reimbursement
Bundled payments
#4
Which of the following is NOT a characteristic of the Fee-for-Service payment model?
Providers are paid for each service they provide.
Patients may receive unnecessary tests or treatments.
Providers are rewarded for the quality of care delivered.
There is potential for overutilization of healthcare services.
#5
What is a key feature of a Health Savings Account (HSA) in the United States?
Employers contribute to the account on behalf of employees.
Withdrawals for qualified medical expenses are tax-free.
Funds in the account can only be used for prescription drugs.
Contributions to the account are unlimited.
#6
Which healthcare delivery model is characterized by a network of physicians and hospitals that provide medical services to members for a fixed fee?
Accountable Care Organization (ACO)
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
Medicare Advantage (MA)
#7
In a bundled payment system, how are healthcare services grouped for payment purposes?
By the type of insurance plan
By the patient's age
By the specific condition or procedure
By the provider's specialty
#8
What is the main objective of a patient-centered medical home (PCMH)?
To reduce the number of primary care physicians
To increase administrative burdens on healthcare providers
To improve coordination and quality of care for patients
To limit patient access to healthcare services
#9
In the context of healthcare reimbursement, what does DRG stand for?
Diagnosis-Related Group
Disease Reimbursement Guide
Direct Reimbursement Gateway
Diagnostic and Referral Group
#10
Which of the following is a primary goal of value-based care?
Increasing the cost of healthcare services
Rewarding volume of services provided
Improving patient outcomes and reducing costs
Encouraging unnecessary medical interventions
#11
Which healthcare payment model is primarily associated with the concept of 'pay for performance'?
Fee-for-service
Capitation
Value-based reimbursement
Bundled payments
#12
What is a characteristic of a global payment system in healthcare?
Providers receive payments for each individual service rendered.
Patients pay out-of-pocket for healthcare services.
Providers assume financial risk for the cost of care over a defined period.
Patients receive a refund for unused healthcare services.
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