HCD 303 - Module 4 Questions with Answers
(100% Correct Answers)
What is healthcare financing? Answer: - It is the function of a system
concerned with the mobilization, accumulation, and allocation of money to
cover the health needs of the people, individually and collectively, in the health
system
What is one of the key leverage points that exists within healthcare financing
that can be used to improve healthcare delivery? Answer: - To align incentives
between patients and providers
Which country spends the highest percent of their GDP on healthcare?
Answer: - United States
Which of the following is considered to be forms of 'bundled payments'?
Answer: - DRGs
Which payment model reimburses organizations and/or providers based upon
the number of days treatment was given? Answer: - Per Diem
What does the term prospective mean? Answer: It is when the reimbursement
amount for a service or group of services are set in advance
Which of the following accurately describe aspects of the U.S. DRG payment
model? Select all that apply. Answer: - A prospective payment model
- Covers costs from admission to discharge
- Follows a patient for 30-days post-discharge
Which of the following are key distinctions between the DRG payment model
and the EDRG payment model? Select all that apply. Answer: - DRG will only
ever follow a patient for 30-days, while EDRG follows a patient for up to 5
years,
, 2
- DRG does not include physician services, while EDRG does include
physician services in the bundled price
Which payment model provides the least financial risk for providers and the
most financial risk for payers? Answer: - Fee-for-service
Which payment model provides the least financial risk for payers and the most
financial risk for providers? Answer: - Capitation
What payment model was dubbed pay-for-process by physicians and played a
significant role in what would ultimately become the opioid epidemic? Answer:
- Pay-for-performance
What are some of the key aspects of the innovative care delivery design that
occurred in Valencia, Spain? (Hint: visit the required readings from this week).
Answer: - Implemented capitation payments throughout the entire region
- Public financing to a completely private healthcare organization
- Payments were NOT risk-adjusted
What population did CareMore enroll into its innovative, capitation-based,
care delivery programs? (Hint: visit the required readings from this week).
Answer: - Medicare Advantage patients
Japan's health care system "imposes virtually no controls over access to
treatment" due to which of the following? (Hint: visit the required readings
from this week) Answer: - No gatekeepers/ Fee-for-Service reimbursement
What percentage of the federal budget is attributed to healthcare in Germany?
Answer: - 4.3%
In Germany, healthcare spending accounts for what percentage of the GDP?
Answer: - 11%
(100% Correct Answers)
What is healthcare financing? Answer: - It is the function of a system
concerned with the mobilization, accumulation, and allocation of money to
cover the health needs of the people, individually and collectively, in the health
system
What is one of the key leverage points that exists within healthcare financing
that can be used to improve healthcare delivery? Answer: - To align incentives
between patients and providers
Which country spends the highest percent of their GDP on healthcare?
Answer: - United States
Which of the following is considered to be forms of 'bundled payments'?
Answer: - DRGs
Which payment model reimburses organizations and/or providers based upon
the number of days treatment was given? Answer: - Per Diem
What does the term prospective mean? Answer: It is when the reimbursement
amount for a service or group of services are set in advance
Which of the following accurately describe aspects of the U.S. DRG payment
model? Select all that apply. Answer: - A prospective payment model
- Covers costs from admission to discharge
- Follows a patient for 30-days post-discharge
Which of the following are key distinctions between the DRG payment model
and the EDRG payment model? Select all that apply. Answer: - DRG will only
ever follow a patient for 30-days, while EDRG follows a patient for up to 5
years,
, 2
- DRG does not include physician services, while EDRG does include
physician services in the bundled price
Which payment model provides the least financial risk for providers and the
most financial risk for payers? Answer: - Fee-for-service
Which payment model provides the least financial risk for payers and the most
financial risk for providers? Answer: - Capitation
What payment model was dubbed pay-for-process by physicians and played a
significant role in what would ultimately become the opioid epidemic? Answer:
- Pay-for-performance
What are some of the key aspects of the innovative care delivery design that
occurred in Valencia, Spain? (Hint: visit the required readings from this week).
Answer: - Implemented capitation payments throughout the entire region
- Public financing to a completely private healthcare organization
- Payments were NOT risk-adjusted
What population did CareMore enroll into its innovative, capitation-based,
care delivery programs? (Hint: visit the required readings from this week).
Answer: - Medicare Advantage patients
Japan's health care system "imposes virtually no controls over access to
treatment" due to which of the following? (Hint: visit the required readings
from this week) Answer: - No gatekeepers/ Fee-for-Service reimbursement
What percentage of the federal budget is attributed to healthcare in Germany?
Answer: - 4.3%
In Germany, healthcare spending accounts for what percentage of the GDP?
Answer: - 11%
