HOM 5307 Exam 2 Questions and Correct Verified
Answers
What technique is used by many pharmaceutical companies with health plans and PBMs to
increase formulary access and utilization of specific products?
A- Rebates for preferred formulary position
B- Health economic data, including a growing number of head-to-head clinical trials
C- Member copayment coupons to offset copayment
D- All the above
D- all of the above
T/F
Recent legislation encourages separate lifetime limits for behavioral care.
false
T/F
The majority of prescriptions for behavioral health medications are written by non-
psychiatrists.
true
T/F
Physicians treating gynecological patients diagnose substance abuse approximately 30% of
the time.
false
Approximately 50% of behavioral care spending is associated with what percentage of
patients?
, A- 5%
B- 10%
C- 15%
D- 20%
A- 5%
Which organization does NOT accredit managed behavioral health care companies?
American College of Mental Health Administration
Which organization(s) accredit managed behavioral health care companies?
A- National Committee for Quality Assurance
B- The Joint Commission
C- Utilization Review Accreditation Commission
D- Councile of Accreditation
E- All the above
E- all of the above
T/F
Behavioral health care providers are paid under methodologies similar to those applied to
medical/surgical care providers.
true
T/F
Pay for performance (P4P) cannot be applied to behavioral health care providers.
false
T/F
HEDIS is the most widely used set of measures for reporting on managed behavioral health
care.
Answers
What technique is used by many pharmaceutical companies with health plans and PBMs to
increase formulary access and utilization of specific products?
A- Rebates for preferred formulary position
B- Health economic data, including a growing number of head-to-head clinical trials
C- Member copayment coupons to offset copayment
D- All the above
D- all of the above
T/F
Recent legislation encourages separate lifetime limits for behavioral care.
false
T/F
The majority of prescriptions for behavioral health medications are written by non-
psychiatrists.
true
T/F
Physicians treating gynecological patients diagnose substance abuse approximately 30% of
the time.
false
Approximately 50% of behavioral care spending is associated with what percentage of
patients?
, A- 5%
B- 10%
C- 15%
D- 20%
A- 5%
Which organization does NOT accredit managed behavioral health care companies?
American College of Mental Health Administration
Which organization(s) accredit managed behavioral health care companies?
A- National Committee for Quality Assurance
B- The Joint Commission
C- Utilization Review Accreditation Commission
D- Councile of Accreditation
E- All the above
E- all of the above
T/F
Behavioral health care providers are paid under methodologies similar to those applied to
medical/surgical care providers.
true
T/F
Pay for performance (P4P) cannot be applied to behavioral health care providers.
false
T/F
HEDIS is the most widely used set of measures for reporting on managed behavioral health
care.
