HCMG 2026 EXAM QUESTIONS AND
ANSWERS WITH VERIFIED SOLUTIONS
100% CORRECT
2 reasons why the prevalence of mental illness can increase -
correct answer- 1. Increased incidence
2. More detection
3 things that value based payments include - correct
answer- 1. Pay for performance
2. Bundled payments
3. Accountable care organization
4 eras of hospitals in US - correct answer- 1. Mission
defined 1750s-1870s
2. Market enlarged 1870s-1930s
3. New sources of funding 1930s-1965
4. Market based approach 1965-present
Abraham Maslow - correct answer- Humanistic
psychology
,Hierarchy of needs
Accountable care organizations - correct answer-
Providers (usually both hospitals and physicians) agree to
coordinate care and meet pre-determined benchmarks for a
specified patient population in exchange for capitated payments
(monthly or annually)
- Were originally meant to be a model of primary care delivery
- Actually a payment model for primary care delivery
-Improved patient outcomes and lowered costs for covered
patients, but no change in access
- Physician and hospital on hook for bad outcomes
- Horizontal integration
- More proactive
ACOs are a type of - correct answer- Capitation
Advanced practitioners - correct answer- Non-
physicians with advanced schooling and training
- Includes: NPs, PAs, midwives, anesthetists, clinical nurse
specialists
,Ancient Greek interpretations of the brain - correct
answer- Most people --> punishment from the gods or
demonic possession
Hippocrates and Galen --> disturbance of physiology/humors
Assumptions to perfect compeition - correct answer- -
Identical product
- Free entry/exit
- Price taker vs price setter
- Freely flowing information
Attribution Criteria - correct answer- - Who is included
in quality measurement?
- Over what time period?
- Ex: Performance period is a calendar year, members had a
minimum of 2 behavioral health visits with the agency within 60
and 90 days, visits 15 days apart
Barriers to entry - correct answer- - Need to get into
an accredited medical school (<50% of applicants are accepted)
, - Need to match into residency
- Additional training for specialists
Bed days = patient days - correct answer- Number of
beds x occupancy rate = average length of stay x number of
admissions
Behavioral health - correct answer- Encompasses
mental health and conditions that are behavioral in nature, such
as substance use disorders
Bundled payments - correct answer- Providers receive
a lumpsum per episode and usually are rewarded through cost
savings
- Medicare has been rolling out episode-based bundled
payments since 2013
- Covers dozens of procedures
- Lower costs (modestly)
- Success depends on how predictable the episode is
Bundled Payments for Care Improvement Initiative (BCPI) -
correct answer- - Bundled payment through Medicare
ANSWERS WITH VERIFIED SOLUTIONS
100% CORRECT
2 reasons why the prevalence of mental illness can increase -
correct answer- 1. Increased incidence
2. More detection
3 things that value based payments include - correct
answer- 1. Pay for performance
2. Bundled payments
3. Accountable care organization
4 eras of hospitals in US - correct answer- 1. Mission
defined 1750s-1870s
2. Market enlarged 1870s-1930s
3. New sources of funding 1930s-1965
4. Market based approach 1965-present
Abraham Maslow - correct answer- Humanistic
psychology
,Hierarchy of needs
Accountable care organizations - correct answer-
Providers (usually both hospitals and physicians) agree to
coordinate care and meet pre-determined benchmarks for a
specified patient population in exchange for capitated payments
(monthly or annually)
- Were originally meant to be a model of primary care delivery
- Actually a payment model for primary care delivery
-Improved patient outcomes and lowered costs for covered
patients, but no change in access
- Physician and hospital on hook for bad outcomes
- Horizontal integration
- More proactive
ACOs are a type of - correct answer- Capitation
Advanced practitioners - correct answer- Non-
physicians with advanced schooling and training
- Includes: NPs, PAs, midwives, anesthetists, clinical nurse
specialists
,Ancient Greek interpretations of the brain - correct
answer- Most people --> punishment from the gods or
demonic possession
Hippocrates and Galen --> disturbance of physiology/humors
Assumptions to perfect compeition - correct answer- -
Identical product
- Free entry/exit
- Price taker vs price setter
- Freely flowing information
Attribution Criteria - correct answer- - Who is included
in quality measurement?
- Over what time period?
- Ex: Performance period is a calendar year, members had a
minimum of 2 behavioral health visits with the agency within 60
and 90 days, visits 15 days apart
Barriers to entry - correct answer- - Need to get into
an accredited medical school (<50% of applicants are accepted)
, - Need to match into residency
- Additional training for specialists
Bed days = patient days - correct answer- Number of
beds x occupancy rate = average length of stay x number of
admissions
Behavioral health - correct answer- Encompasses
mental health and conditions that are behavioral in nature, such
as substance use disorders
Bundled payments - correct answer- Providers receive
a lumpsum per episode and usually are rewarded through cost
savings
- Medicare has been rolling out episode-based bundled
payments since 2013
- Covers dozens of procedures
- Lower costs (modestly)
- Success depends on how predictable the episode is
Bundled Payments for Care Improvement Initiative (BCPI) -
correct answer- - Bundled payment through Medicare
