HOM 5307 Exam 2 |45 Complete Q’s and
A’s
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. - -true
(HEDIS = Healthcare Effectiveness Data and Information Set)
- which of the following entities must document quality improvement
processes in order to gain URAC accreditation?
A. Credentials verification organizations
B. Health plans
C. Health websites
D. All the above - -D- all of the above
- What organization is typically NOT accredited by the AAAHC?
A- hospital
B- clinic
C- dental office
D- all of the above
(**his question asked which organization is accredited by the AAAHC? but I
couldn't find that answer on quizlet anywhere.) - -A- hospital
- What organizations have developed accreditation programs for managed
care organizations?
A- NCQA
B- URAC
C- AAAHC
D- A and B only
E- All of the above - -E- all of the above
A’s
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. - -true
(HEDIS = Healthcare Effectiveness Data and Information Set)
- which of the following entities must document quality improvement
processes in order to gain URAC accreditation?
A. Credentials verification organizations
B. Health plans
C. Health websites
D. All the above - -D- all of the above
- What organization is typically NOT accredited by the AAAHC?
A- hospital
B- clinic
C- dental office
D- all of the above
(**his question asked which organization is accredited by the AAAHC? but I
couldn't find that answer on quizlet anywhere.) - -A- hospital
- What organizations have developed accreditation programs for managed
care organizations?
A- NCQA
B- URAC
C- AAAHC
D- A and B only
E- All of the above - -E- all of the above
