HCD 303 - Module 4
Study online at https://quizlet.com/_berb8x
- It is the function of a system concerned with the mobiliza-
tion, accumulation, and allocation of money to cover the
What is healthcare financing?
health needs of the people, individually and collectively,
in the health system
What is one of the key leverage points that exists within
healthcare financing that can be used to improve health- - To align incentives between patients and providers
care delivery?
Which country spends the highest percent of their GDP on
- United States
healthcare?
Which of the following is considered to be forms of 'bun-
- DRGs
dled payments'?
Which payment model reimburses organizations and/or
providers based upon the number of days treatment was - Per Diem
given?
It is when the reimbursement amount for a service or
What does the term prospective mean?
group of services are set in advance
- A prospective payment model
Which of the following accurately describe aspects of the
- Covers costs from admission to discharge
U.S. DRG payment model? Select all that apply.
- Follows a patient for 30-days post-discharge
- DRG will only ever follow a patient for 30-days, while
Which of the following are key distinctions between the
EDRG follows a patient for up to 5 years,
DRG payment model and the EDRG payment model? Se-
- DRG does not include physician services, while EDRG
lect all that apply.
does include physician services in the bundled price
Which payment model provides the least financial risk for
- Fee-for-service
providers and the most financial risk for payers?
Which payment model provides the least financial risk for
- Capitation
payers and the most financial risk for providers?
1/4
Study online at https://quizlet.com/_berb8x
- It is the function of a system concerned with the mobiliza-
tion, accumulation, and allocation of money to cover the
What is healthcare financing?
health needs of the people, individually and collectively,
in the health system
What is one of the key leverage points that exists within
healthcare financing that can be used to improve health- - To align incentives between patients and providers
care delivery?
Which country spends the highest percent of their GDP on
- United States
healthcare?
Which of the following is considered to be forms of 'bun-
- DRGs
dled payments'?
Which payment model reimburses organizations and/or
providers based upon the number of days treatment was - Per Diem
given?
It is when the reimbursement amount for a service or
What does the term prospective mean?
group of services are set in advance
- A prospective payment model
Which of the following accurately describe aspects of the
- Covers costs from admission to discharge
U.S. DRG payment model? Select all that apply.
- Follows a patient for 30-days post-discharge
- DRG will only ever follow a patient for 30-days, while
Which of the following are key distinctions between the
EDRG follows a patient for up to 5 years,
DRG payment model and the EDRG payment model? Se-
- DRG does not include physician services, while EDRG
lect all that apply.
does include physician services in the bundled price
Which payment model provides the least financial risk for
- Fee-for-service
providers and the most financial risk for payers?
Which payment model provides the least financial risk for
- Capitation
payers and the most financial risk for providers?
1/4
