Population Health Management || Questions with
Complete Solutions.
Definition of population health management correct answers managing the health of a defined
population by providing the right intervention, for the right patient, at the right time delivered by
the most appropriate team
What type of reimbursment model are we moving towards? correct answers from volume-based
to value-based
Why is population health useful in terms of healthcare costs? correct answers earlier intervention
in the right popuatiuon can result in reduced overall healthcare costs
What are the 3 tiers of populations in terms of categories for prevention? correct answers 1:
primary prevention (wellness and health promotion) low risk
2: secondary prevention (screening and early detection) medium risk (for diabetes, HT. CKD)
3. tertiary prevention (early intervention and care management) high risk
What are the 3 umbrellas that go into population health management? and which 2 are the
traditional healthcare-related factors? correct answers social determinants
care delivery
regulatory environment
last two are the traditional healthcare-related factors
What 6 things go into social determinants? correct answers food security
neighborhood violence
health literacy
uninsured
transportation availibility
demographic factors
What are the 5 things that go into care delivery? correct answers EHR availibility
Behavioral health availability
Care coordination
Culturally-sensitive provisions
distance from care centers
What are the 5 things that go into regulatory environment correct answers - Medicare
reimbursment rates
- medicaid expansion
- medicare and medicaid care delivery
- ACA implementation
, - Local, state, and federal healthcare laws
What are the 2 drivers for population health management? correct answers demand forces
performance forces
What are the 7 things in demand forces? correct answers - aging population
- greater life expectancy
- population diversity
- rising chronic disease rates
- patient desire for at home treatment
- more insured lives
- imbalance of physician supply and demand
What are the 6 factors in performance forces? correct answers - technological advances
- shift towards evidence-based care
- emphasis on prevention
- more outpatient care
- introduction of value-based reimbursement
- shared risk structures with payers
What is the goal of the 86 millions that have prediabetes and how many are unaware? correct
answers 77 million are unaware
goal: reduce or eliminate risk factors and avert disease
What is the goal in the 8 millions of people who are undaignosed with dibetes? correct answers
to find and treat early to stop progression
What is the goal in the 4 million diabetics who are diagnosed, but not treated and the 8.5 million
who are treated by not successfully controlled? correct answers Manage disease to avoid
complications and progression
What is the goal for the 20.5 million diabetics that have uncontrolled diabetes? correct answers
avert complications and costs of untreated or uncontrolled disease
How many american's achieve their A1C goals <7%? correct answers less than half
Have rates of A1C control <8% significantly improved from 2009-2015 correct answers NO!
How many patients have A1C >9%? correct answers 1/4-1/2
How much does diabetes and prediabetes cost the US every year? correct answers $322 billion
How many healthcare dollars are spent caring for people w/ diabetes? correct answers 1 in 5
How many medicare dollars are spent caring for people w/ diabetes correct answers 1 in 3
Complete Solutions.
Definition of population health management correct answers managing the health of a defined
population by providing the right intervention, for the right patient, at the right time delivered by
the most appropriate team
What type of reimbursment model are we moving towards? correct answers from volume-based
to value-based
Why is population health useful in terms of healthcare costs? correct answers earlier intervention
in the right popuatiuon can result in reduced overall healthcare costs
What are the 3 tiers of populations in terms of categories for prevention? correct answers 1:
primary prevention (wellness and health promotion) low risk
2: secondary prevention (screening and early detection) medium risk (for diabetes, HT. CKD)
3. tertiary prevention (early intervention and care management) high risk
What are the 3 umbrellas that go into population health management? and which 2 are the
traditional healthcare-related factors? correct answers social determinants
care delivery
regulatory environment
last two are the traditional healthcare-related factors
What 6 things go into social determinants? correct answers food security
neighborhood violence
health literacy
uninsured
transportation availibility
demographic factors
What are the 5 things that go into care delivery? correct answers EHR availibility
Behavioral health availability
Care coordination
Culturally-sensitive provisions
distance from care centers
What are the 5 things that go into regulatory environment correct answers - Medicare
reimbursment rates
- medicaid expansion
- medicare and medicaid care delivery
- ACA implementation
, - Local, state, and federal healthcare laws
What are the 2 drivers for population health management? correct answers demand forces
performance forces
What are the 7 things in demand forces? correct answers - aging population
- greater life expectancy
- population diversity
- rising chronic disease rates
- patient desire for at home treatment
- more insured lives
- imbalance of physician supply and demand
What are the 6 factors in performance forces? correct answers - technological advances
- shift towards evidence-based care
- emphasis on prevention
- more outpatient care
- introduction of value-based reimbursement
- shared risk structures with payers
What is the goal of the 86 millions that have prediabetes and how many are unaware? correct
answers 77 million are unaware
goal: reduce or eliminate risk factors and avert disease
What is the goal in the 8 millions of people who are undaignosed with dibetes? correct answers
to find and treat early to stop progression
What is the goal in the 4 million diabetics who are diagnosed, but not treated and the 8.5 million
who are treated by not successfully controlled? correct answers Manage disease to avoid
complications and progression
What is the goal for the 20.5 million diabetics that have uncontrolled diabetes? correct answers
avert complications and costs of untreated or uncontrolled disease
How many american's achieve their A1C goals <7%? correct answers less than half
Have rates of A1C control <8% significantly improved from 2009-2015 correct answers NO!
How many patients have A1C >9%? correct answers 1/4-1/2
How much does diabetes and prediabetes cost the US every year? correct answers $322 billion
How many healthcare dollars are spent caring for people w/ diabetes? correct answers 1 in 5
How many medicare dollars are spent caring for people w/ diabetes correct answers 1 in 3
