HOM 5307 Exam 1 Set 5 |Questions and
Answers
T or F: Recent legislation encourages separate lifetime limits for behavioral
care. - -False
- T or F: Extended inpatient treatment for substance abuse is clearly more
effective, but too costly. - -False
- T or F: Behavioral health care providers are paid under methodologies
similar to those applied to medical/surgical care providers. - -True
- T or F: Pay for performance (P4P) cannot be applied to behavioral health
care providers. - -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)? - -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? - -
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? - -Medicare Part D
- Two desirable outcomes of tiered prescription member copayments are: - -
The use of less expensive generic drugs increases and members save money
by paying lower Tier 1 generic copayments
- One potential negative consequence of drug formularies with high
copayments is: - -High copayments may be a barrier to adherence
- What is the common benefit design trend in commercial (employer group
sponsored) prescription drug benefits? - -Increasing copayment amounts,
especially for Tier 2 preferred brand drugs and Tier 3 non-preferred brand
drugs.
Answers
T or F: Recent legislation encourages separate lifetime limits for behavioral
care. - -False
- T or F: Extended inpatient treatment for substance abuse is clearly more
effective, but too costly. - -False
- T or F: Behavioral health care providers are paid under methodologies
similar to those applied to medical/surgical care providers. - -True
- T or F: Pay for performance (P4P) cannot be applied to behavioral health
care providers. - -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)? - -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? - -
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? - -Medicare Part D
- Two desirable outcomes of tiered prescription member copayments are: - -
The use of less expensive generic drugs increases and members save money
by paying lower Tier 1 generic copayments
- One potential negative consequence of drug formularies with high
copayments is: - -High copayments may be a barrier to adherence
- What is the common benefit design trend in commercial (employer group
sponsored) prescription drug benefits? - -Increasing copayment amounts,
especially for Tier 2 preferred brand drugs and Tier 3 non-preferred brand
drugs.
