HCD 303 - Module 4 Questions and Answers
Save
Terms in this set (40)
- It is the function of a system concerned with the
mobilization, accumulation, and allocation of money to
What is healthcare financing?
cover the health needs of the people, individually and
collectively, in the health system
What is one of the key - To align incentives between patients and providers
leverage points that exists
within healthcare financing
that can be used to improve
healthcare delivery?
Which country spends the - United States
highest percent of their GDP
on healthcare?
Which of the following is - DRGs
considered to be forms of
'bundled payments'?
Which payment model - Per Diem
reimburses organizations
and/or providers based upon
the number of days treatment
was given?
What does the term It is when the reimbursement amount for a service or group
prospective mean? of services are set in advance
Which of the following - A prospective payment model
accurately describe aspects - Covers costs from admission to discharge
of the U.S. DRG payment - Follows a patient for 30-days post-discharge
model? Select all that apply.
, Which of the following are - DRG will only ever follow a patient for 30-days, while
key distinctions between the EDRG follows a patient for up to 5 years,
DRG payment model and the - DRG does not include physician services, while EDRG
EDRG payment model? does include physician services in the bundled price
Select all that apply.
Which payment model - Fee-for-service
provides the least financial
risk for providers and the
most financial risk for payers?
Which payment model - Capitation
provides the least financial
risk for payers and the most
financial risk for providers?
What payment model was - Pay-for-performance
dubbed pay-for-process by
physicians and played a
significant role in what would
ultimately become the opioid
epidemic?
What are some of the key - Implemented capitation payments throughout the entire
aspects of the innovative region
care delivery design that - Public financing to a completely private healthcare
occurred in Valencia, Spain? organization
(Hint: visit the required - Payments were NOT risk-adjusted
readings from this week).
What population did - Medicare Advantage patients
CareMore enroll into its
innovative, capitation-based,
care delivery programs?
(Hint: visit the required
readings from this week).
Save
Terms in this set (40)
- It is the function of a system concerned with the
mobilization, accumulation, and allocation of money to
What is healthcare financing?
cover the health needs of the people, individually and
collectively, in the health system
What is one of the key - To align incentives between patients and providers
leverage points that exists
within healthcare financing
that can be used to improve
healthcare delivery?
Which country spends the - United States
highest percent of their GDP
on healthcare?
Which of the following is - DRGs
considered to be forms of
'bundled payments'?
Which payment model - Per Diem
reimburses organizations
and/or providers based upon
the number of days treatment
was given?
What does the term It is when the reimbursement amount for a service or group
prospective mean? of services are set in advance
Which of the following - A prospective payment model
accurately describe aspects - Covers costs from admission to discharge
of the U.S. DRG payment - Follows a patient for 30-days post-discharge
model? Select all that apply.
, Which of the following are - DRG will only ever follow a patient for 30-days, while
key distinctions between the EDRG follows a patient for up to 5 years,
DRG payment model and the - DRG does not include physician services, while EDRG
EDRG payment model? does include physician services in the bundled price
Select all that apply.
Which payment model - Fee-for-service
provides the least financial
risk for providers and the
most financial risk for payers?
Which payment model - Capitation
provides the least financial
risk for payers and the most
financial risk for providers?
What payment model was - Pay-for-performance
dubbed pay-for-process by
physicians and played a
significant role in what would
ultimately become the opioid
epidemic?
What are some of the key - Implemented capitation payments throughout the entire
aspects of the innovative region
care delivery design that - Public financing to a completely private healthcare
occurred in Valencia, Spain? organization
(Hint: visit the required - Payments were NOT risk-adjusted
readings from this week).
What population did - Medicare Advantage patients
CareMore enroll into its
innovative, capitation-based,
care delivery programs?
(Hint: visit the required
readings from this week).
