Week 1_ Quiz_ Differential Diagnosis and Primary Care Practicum

Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does this mean? The HMO is not responsible for provider reimbursement. The HMO reimburses the provider on a fee-for-service basis. The HMO reimburses the provider only if the patient has paid their deductible. The HMO reimburses the provider a predetermined fee per client per month based on the client’s age and sex. Correct! The reimbursement mechanism called capitation that some HMOs use is one in which the HMO reimburses the provider a set fee per client per month based on the client's age and sex. HMOs are prepaid, comprehensive systems of health benefits that combine both financing and delivery of services to subscribers. They may pay providers on a capitated or fee-forservice basis. Q 1 / 1 pts uestion 2 Top  9/1/2020 Week 1: Quiz: Differential Diagnosis and Primary Care Practicum-Murray Which of the following is the best method for evaluating the efficacy of a new clinical intervention? A randomized controlled trial. Correct! A correlational study. A case report. A descriptive study. The best method for evaluating the efficacy of a new clinical intervention is a randomized controlled trial (RCT). Q 1 / 1 pts uestion 3 A screening test identified correctly identified 80 individuals who did not have breast cancer out of 100 individuals that were known to be free of the disease (true negatives). Thus, the test failed to recognize 20 individuals who did not have breast cancer. What is the specificity of the screening test? 60%. 80%. Correct! 20%. 40%. Top  9/1/2020 Week 1: Quiz: Differential Diagnosis and Primary Care Practicum-Murray Specificity measures a screening test's ability to recognize individuals who are non-diseased or those with negative reactions (true negatives). It can be represented by a reaction of tested negatives to the total number of known, or true, negatives. In this case, the number of negatives that the test recognized was 80, with the total number of known, or true, negatives being 100. 80 out of 100=80%. Ques 0 / 1 pts tion 4 The Affordable Care Act (ACA) which passed in 2010 has a number of provisions, including the establishment of health exchanges. The purpose of a health insurance exchange is to: Reduce the ov