PRIMARY CARE INTERPROFESSIONAL
COLLA BORATIVE PRECTICE 7TH EDITION
B Y TERRY MAHAN BUTTARO | ALL
CHAPTERS 1- 228
Question 1
Which of the following best describes the core characteristic of
an Accountable Care Organization (ACO) as discussed in the
text?
A) A fee-for-service payment model that rewards volume of
services.
B) A group of doctors, hospitals, and other healthcare providers
who voluntarily come together to provide coordinated high-
quality care to their Medicare patients.
C) A managed care organization that focuses exclusively on
preventive services for chronic diseases.
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D) A legal entity that allows physicians to share liability
insurance and reduce medical malpractice claims.
Answer: B
Rationale: An ACO is a network of providers that shares
responsibility for the quality, cost, and coordination of care for a
defined population. The goal is to move away from fee-for-
service towards value-based care by improving outcomes and
reducing unnecessary costs.
Question 2
A small, rural hospital is part of an Accountable Care
Organization (ACO) and is designated as a Level 1 ACO. What
is part of this designation?
A) Bonuses based on achievement of benchmarks for quality
measures and expenditures.
B) Care coordination for chronic diseases and shared savings
with downside risk.
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C) Increased capital requirements for information technology
infrastructure.
D) A strict capitated payment model for all enrolled patients.
Answer: A
Rationale: A Level 1 ACO has the least amount of financial risk
and requirements, but receives shared savings bonuses based on
achievement of benchmarks for quality measures and
expenditures. Care coordination and capital requirements are
more common in higher-risk, Level 2 and 3 models.
Question 3
A primary care provider is seeing a new patient. The patient
states, “I want a provider who will listen to me and explain things
in a way I can understand.” This statement aligns most with which
core concept of the textbook?
A) Fee-for-service reimbursement.
B) Empowering patients as collaborative partners.
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C) Risk management and medical-legal documentation.
D) Utilization of the electronic health record.
Answer: B
Rationale: The textbook emphasizes a new model for primary
care where patients are empowered as collaborative partners.
This model shifts away from a paternalistic provider-driven
approach to one that values shared decision-making, health
literacy, and patient-centered communication.
Question 4
An important finding of the Advisory Board survey of 2014
about primary care preferences of patients was:
A) Associations with area hospitals.
B) Costs of ambulatory care.
C) Ease of access to care.
D) The ratio of providers to patients.