HOM 5307 EXAM 1 SET 5 ACTUAL QUESTIONS AND ANSWERS
T or F: Recent legislation encourages separate lifetime limits for behavioral care. - CORRECT
ANSWER✅✅False
T or F: Extended inpatient treatment for substance abuse is clearly more effective, but too costly. -
CORRECT ANSWER✅✅False
T or F: Behavioral health care providers are paid under methodologies similar to those applied to
medical/surgical care providers. - CORRECT ANSWER✅✅True
T or F: Pay for performance (P4P) cannot be applied to behavioral health care providers. - CORRECT
ANSWER✅✅False
What statement is true regarding the trends of traditional, non-specialty drugs (mostly oral and topical
drugs dispensed in community pharmacy) and specialty drugs (biotech, injectables, high-cost orals)? -
CORRECT ANSWER✅✅Many expensive and popular traditional drugs are losing patent protection, and
generics are driving a declining cost trend. A growing number of the drugs in the pipeline for FDA
approval are injectable products and the specialty drug trend, already at 20%, is expected to increase.
Electronic prescribing offers which of the following potential outcomes? - CORRECT
ANSWER✅✅Improvement in physician drug formulary prescribing conformance
Reduction in drug interactions and resulting serious adverse effects
Reduction in prescribing and dispensing errors
In January 2006, what large federal prescription drug program was implemented that offered pharmacy
benefits to more than 40 million people at that time and is expected to increase by 30% throughout the
next decade? - CORRECT ANSWER✅✅Medicare Part D
Two desirable outcomes of tiered prescription member copayments are: - CORRECT ANSWER✅✅The
use of less expensive generic drugs increases and members save money by paying lower Tier 1 generic
copayments
T or F: Recent legislation encourages separate lifetime limits for behavioral care. - CORRECT
ANSWER✅✅False
T or F: Extended inpatient treatment for substance abuse is clearly more effective, but too costly. -
CORRECT ANSWER✅✅False
T or F: Behavioral health care providers are paid under methodologies similar to those applied to
medical/surgical care providers. - CORRECT ANSWER✅✅True
T or F: Pay for performance (P4P) cannot be applied to behavioral health care providers. - CORRECT
ANSWER✅✅False
What statement is true regarding the trends of traditional, non-specialty drugs (mostly oral and topical
drugs dispensed in community pharmacy) and specialty drugs (biotech, injectables, high-cost orals)? -
CORRECT ANSWER✅✅Many expensive and popular traditional drugs are losing patent protection, and
generics are driving a declining cost trend. A growing number of the drugs in the pipeline for FDA
approval are injectable products and the specialty drug trend, already at 20%, is expected to increase.
Electronic prescribing offers which of the following potential outcomes? - CORRECT
ANSWER✅✅Improvement in physician drug formulary prescribing conformance
Reduction in drug interactions and resulting serious adverse effects
Reduction in prescribing and dispensing errors
In January 2006, what large federal prescription drug program was implemented that offered pharmacy
benefits to more than 40 million people at that time and is expected to increase by 30% throughout the
next decade? - CORRECT ANSWER✅✅Medicare Part D
Two desirable outcomes of tiered prescription member copayments are: - CORRECT ANSWER✅✅The
use of less expensive generic drugs increases and members save money by paying lower Tier 1 generic
copayments
