Question 1Which of the following is FALSE regarding healthcare delivery organizations such as physician practices or hospitals in the US?1 pointHealthcare delivery organizations can be operated by the governmentPhysician practices and the facilities in which physicians provide services are always integrated into the same organizationBoth non-profit and for-profit organizations face economic pressuresEssentially all delivery organizations are a part of a physician practice or a hospital

Which of the following is FALSE regarding Accountable Care Organizations (ACOs)?1 pointAn ACO is an entity that works to integrate and coordinate care by involving a range of physicians who work together but are not necessarily financially integratedWhen interfacing with intermediaries, the ACO can act on behalf of the participating providersThe ACO concept was originally devised by private insurance companies as a way to decrease costs for their membersLarger organizations can be better suited to ACO adoption because they can often more easily provide for a wide range of care and manage payment arrangements that can incentivize efficient care16.Question 16Which of the following correctly matches a cost sharing/OOP spending tool to an example of it?1 pointDeductible- A person has to pay $25 for each doctor visit and insurance will cover the rest. Out-of-pocket maximum (OOP)- After a person’s out-of-pocket spending reaches $3,000 in a calendar year, the insurer will pay all the remaining costs in full. Copayment- A person must pay 30% of medical expenses and insurance will pay the other 70%.Coinsurance- A person pays for the first $500 of health spending and then insuranc

7.Question 7Which of the following is MOST likely to incentivize health care providers to over-utilize medical care?1 pointFee for service payment systemPaying physicians a salaryUsing “supply-side” tools such as gatekeepersCapitation payment systemIncreasing the number of expensive but not readily accessible diagnostic tools and services

Question 20Which of the following does NOT accurately describe Medicaid?1 pointMedicaid is a government-run program that covers low-income peopleThough the Federal government oversees some aspects of Medicaid, a different Medicaid program is operated by each stateMedicaid is the only public insurance program in the US with broad coverage for long-term careMost people enrolled in Medicaid have traditional indemnity style insurance coverage21.Question 21Which of the following is regulated by the FDA?1 pointPrescription drugsOver-the-counter drugsMedical devicesBiologic productsAll of the above22.Question 22Which of the following is true of generic drugs?1 pointThey are generally made by the same manufacturer as the branded drugThey are allowed to be close to but not the exact chemical composition as the branded drugOnce they enter the market, the branded drug is no longer soldThey go through a different FDA approval process than the original branded drug23.Question 23You are a drug company finishing your New Drug Application with the US FDA for a newly discovered treatment for Crohn’s disease. You received a 20-year patent in 2012 for your drug, and you are expecting your NDA approval in 2020. Based on this information, how many years will you have with your drug on the market before a generic is able to enter the market as a competitor?1 point25 years 8 years 11 years 12 years 20 years 24.Question 24Which of the following are potential uses of quality data?1 pointMonitoring and improvement of carePublic reporting in order to incentivize future quality improvements and assist patients in provider selectionDesigning better pay-for-performance metricsAll of the above25.Question 25Which of the following is NOT an example of an outcome measure?1 pointPercentage of providers appropriately credentialed Hospital readmission ratesHospital mortality ratesPatient-reported outcomes

Question 14True of False? It is possible for the physician portion of a payment to be paid via a different mechanism (e.g. fee-for-service) than the facility portion.1 pointTrueFalse

Question 12 (5 points) Which of the following groups of health care professionals work with and in conjunction with physicians to provide assessment, diagnosis, and treatment of health conditions and, in most states, are able to write prescriptions? Question 12 options: A) Nurse practitioners and physician assistants B) Physician assistants and aides C) Physician assistants and unlicensed professionals D) Nurse practitioners and nurse aides