The Affordable Care Act included several risk and market
stabilization programs. Which of the following is one of
the programs that dealt with limiting insurer losses and
gains beyond an allowable range?
A.) Reinsurance program
B.) Risk adjustment program
C.) Medical loss ratio program
D.) Risk corridor program
E.) Bidding process program for qualified health plans
D.) Risk corridor program
,The Affordable Care Act specifically refers to which of the
following patient-centered medical home features or
characteristics?
I. Expanded access to health care
II. Payments that recognize added value from additional
components of patient-centered care
III. Safe and high-quality care through evidence informed
medicine
E.) I, II and III
,After extensive study and research, certain conclusions
can be drawn regarding the various approaches to
achieve quality improvements in health care. All the
following statements concerning these conclusions are
correct EXCEPT:
A.) Performance measures, incentives and penalties
focused on health plans are not likely to be very
successful in bringing about effective and extensive
quality improvement.
B.) External bodies have limited ability to foster the
redesign of care unless there is a change in the payment
system.
, C.) Physicians and care delivery organizations must take a
leading role in any serious improvement in care and costs.
D.) Payment systems have little impact on quality
improvements.
E.) Basing physician payments on the volume of services
provided neither incentivizes significant changes in care
approach nor covers the costs of making such changes.
D.) Payment systems have little impact on quality
improvements.
stabilization programs. Which of the following is one of
the programs that dealt with limiting insurer losses and
gains beyond an allowable range?
A.) Reinsurance program
B.) Risk adjustment program
C.) Medical loss ratio program
D.) Risk corridor program
E.) Bidding process program for qualified health plans
D.) Risk corridor program
,The Affordable Care Act specifically refers to which of the
following patient-centered medical home features or
characteristics?
I. Expanded access to health care
II. Payments that recognize added value from additional
components of patient-centered care
III. Safe and high-quality care through evidence informed
medicine
E.) I, II and III
,After extensive study and research, certain conclusions
can be drawn regarding the various approaches to
achieve quality improvements in health care. All the
following statements concerning these conclusions are
correct EXCEPT:
A.) Performance measures, incentives and penalties
focused on health plans are not likely to be very
successful in bringing about effective and extensive
quality improvement.
B.) External bodies have limited ability to foster the
redesign of care unless there is a change in the payment
system.
, C.) Physicians and care delivery organizations must take a
leading role in any serious improvement in care and costs.
D.) Payment systems have little impact on quality
improvements.
E.) Basing physician payments on the volume of services
provided neither incentivizes significant changes in care
approach nor covers the costs of making such changes.
D.) Payment systems have little impact on quality
improvements.
