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Homework answers / question archive / Saudi Electronic University HCM 213 Chapter 13 Multiple Choice 1)In the healthcare payment system are various stakeholders

Saudi Electronic University HCM 213 Chapter 13 Multiple Choice 1)In the healthcare payment system are various stakeholders

Health Science

Saudi Electronic University

HCM 213

Chapter 13

Multiple Choice

1)In the healthcare payment system are various stakeholders. These include:

    1. Contractors
    2. Patients
    3. Vendors
    4. a & c
  1. The objectives of the U.S. healthcare payment system include:
    1. Access
    2. Cost
    3. Quality
    4. All of the above
  2. Medicare’s value based payment demonstrations have had what effect on expenditures?
    1. Great success
    2. Fair success
    3. Little or no effect
    4. None of the above
  3. Blue Cross Blue Shield got its start in: a. 1929

b.   1949

c.     1959

d.   1965

 

 

  1. The Medicare program was enacted as part of the Social Security Act in: a. 1955

b.   1960

c.     1965

d.   1967

 

 

 

  1. Health Maintenance Organization (HMO) is:
    1. A perspective payment method
    2. A legally Incorporated organization that offers health insurance
    3. An organization that rations care
    4. A rating method used by indemnity insurers
  2. Value Based Purchasing is:
    1. A monthly payment by a person to an insurer
    2. A method of reimbursement based on payment for services rendered
    3. A method to control costs through monitoring and prescribing
    4. A payment methodology designed to provide incentives to providers for delivering quality care at lower costs

 

 

  1. Never events are:
    1. Adverse patient outcomes due to provider negligence that are not typically not reimbursed
    2. Methods of rewarding quality of care
    3. Quality populations based on payment
    4. Payment strategies for reducing health care spending
  2. Accountable care organizations performance is measured by:
    1. Patient experience
    2. Care coordination
    3. Preventative health care
    4. All of the above
  3. Hospital reimbursement by Medicare includes:
    1. Case rates
    2. Ambulatory payment classifications
    3. Cash Rates
    4. a & b

True or False

 

  1. A payor may be a regulator. True or False?

 

 

 

  1. Evidence based medicine refers to the best evidence currently available. True or False?

 

  1. Shared savings is a payment strategy used to give the patient a percentage share of savings on their care. True or False?

 

 

  1. Medicare is not part of the Social Security Act. True or False?

 

  1. Copayments and deductibles have been a part of insured patients responsibility from the beginning of employer insurance offerings. True or False?

 

 

  1. Medicare has only two parts, A & B. True or False?

 

  1. Per diem rates refer to a rate that covers everything a hospital provides during an entire inpatient stay. True or False?

 

 

  1. Steerage is influencing of patients to use a particular set of providers. True or False?

 

  1. Capitation is a form of payment that compensates the provider a certain amount per capita for a defined set of services. True or False?

 

 

  1. Experience rating is a method of setting group premium rates that are based on projected healthcare costs of a group. True or False?

 

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