1. What is the primary goal of an Integrated Delivery System (IDS)?
- A) To provide community-based care
- B) To control costs and improve quality through coordinated care
- C) To increase competition among healthcare providers
- D) To focus on specialist care rather than primary care
Answer: B) To control costs and improve quality through coordinated
care
Rationale: IDS aims to integrate various levels of care to ensure patients
receive the most appropriate treatment in a cost-effective and qualityfocused manner.
2. Which of the following is a key feature of Accountable Care
Organizations (ACOs)?
- A) Fee-for-service payment models
- B) Shared savings and risk-bearing arrangements
- C) Decentralized care management
- D) Focus on acute care rather than preventive care
Answer: B) Shared savings and risk-bearing arrangements
Rationale: ACOs are groups of doctors, hospitals, and other healthcare
providers who come together voluntarily to give coordinated high-quality
care to their Medicare patients.
3. In a Capitation payment model, how are providers reimbursed?
- A) Based on the number of services provided
- B) A set fee for each enrolled person assigned to them, per period of
time
- C) Based on the quality outcomes of the care provided
- D) A percentage of the savings achieved from managing care
Answer: B) A set fee for each enrolled person assigned to them, per
period of time
Rationale: Capitation payment model involves payment of a flat fee for
each patient assigned to a provider for a set period, regardless of the
number of services provided.
4. What is the primary purpose of Health Maintenance Organizations
(HMOs)?
- A) To provide care exclusively through specialists
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