#1
Which of the following healthcare delivery models emphasizes preventive care and coordination?
Accountable Care Organization (ACO)
ExplanationFocuses on preventive care and coordinated services to improve patient outcomes.
#2
What is a characteristic of a capitation payment model in healthcare?
Providers are paid a fixed amount per patient regardless of the services provided.
ExplanationProviders receive a fixed payment per patient, incentivizing efficiency.
#3
Which payment model rewards healthcare providers for meeting specific quality and efficiency benchmarks?
Value-based reimbursement
ExplanationRewards providers for quality and efficiency, encouraging better care.
#4
Which of the following is NOT a characteristic of the Fee-for-Service payment model?
Providers are rewarded for the quality of care delivered.
ExplanationProviders are not incentivized based on care quality.
#5
What is a key feature of a Health Savings Account (HSA) in the United States?
Withdrawals for qualified medical expenses are tax-free.
ExplanationTax-free withdrawals for eligible medical expenses.
#6
Which healthcare delivery model is characterized by a network of physicians and hospitals that provide medical services to members for a fixed fee?
Health Maintenance Organization (HMO)
ExplanationNetwork-based healthcare for members at a fixed cost.
#7
In a bundled payment system, how are healthcare services grouped for payment purposes?
By the specific condition or procedure
ExplanationServices are grouped by condition or procedure for a single payment.
#8
What is the main objective of a patient-centered medical home (PCMH)?
To improve coordination and quality of care for patients
ExplanationAims to enhance care coordination and quality for patients.
#9
In the context of healthcare reimbursement, what does DRG stand for?
Diagnosis-Related Group
ExplanationGroups patients with similar diagnoses for payment.
#10
Which of the following is a primary goal of value-based care?
Improving patient outcomes and reducing costs
ExplanationAims to enhance outcomes while cutting costs.
#11
Which healthcare payment model is primarily associated with the concept of 'pay for performance'?
Value-based reimbursement
ExplanationLinks payment to performance, incentivizing quality.
#12
What is a characteristic of a global payment system in healthcare?
Providers assume financial risk for the cost of care over a defined period.
ExplanationProviders bear financial risk for care over time.