HCMG EXAM QUESTIONS AND ANSWERS LATEST
EDITION ALREADY GRADED A+
what are some payment reforms that followed the readmission reduction program?
requiring hospitals to disclose their negotiated prices with insurers (Jan 2021) - the gross charges,
discounted prices, payer-specific negotiated prices, min and max negotiated prices, machine readable
file
Goal: force hospitals to post prices so patients know what to expect/can shop around - and can use
these values for bargaining power of insurer
what is the issue with these machine readable files?
they require consumer literacy
why do hospitals want to keep the prices confidential?
because insurers can negotiating by seeing how much other insurers pay the hospital (some hospitals
would rather pay fines than disclose these prices - as of 2023, 4 hospitals fined)
what are some aspects of doctor to patient interactions that are lost in digital health/AI?
trust (when interface is not human, trust is not there), lack of validation, disparities in access
What is Penn Cobalt? How does it work?
mental health/well being platform with individual support, group sessions, and other self-directed
resources.
Go to website, answer questionnaire, brief psych eval, given appropriate level of care
descrie the pull method vs push strategy of Penn Cobalt
pull: individual has to offer up the information, so must be self aware enough to seek it out and
motivated to use the resource
- less productive
push: using low tech solutions, send monthly automated texts to users for reminders and links to
resources
- intermittent mental health assessments at enrollment, months 2, 4, and 6
- similar to the "nudge" that we talked ab in beginning of year --> and this worked!
what are some issues with using digital platforms for health information?
not always accurate, policy makers have different ways of phrasing / talking about health, popular
beliefs in society readily adopted by individuals, who actually controls the internet?
why is social media data, especially Twitter, useful for measuring health / emotional data?
because it is public and easy to access
, what was the emotion that had the greatest increase for ER docs during COVID/post?
loneliness
what word is most correlated to negative online hospital reviews
'told'
in the pilot study that looked at the influence of the mood rater technology, what were the trends of
positive vs negative moods during the day?
from 7am to 5pm, positive moods were higher
from 5pm to 6am, negative moods were higher
describe the wearable device RCT
all veterans*
control group: wore step-tracking device with no goal game/support partner engagement
gamification w/ social support: game with points, levels, and social support tracking mean step count
loss-framed financial incentive: gamification with social support + $120, $10 deducted each week step
count not met
outcome: change in mean daily step count
Key takeaways:
- required daily access to smartphone/tablet
- remote enrollment
- only the group with the gamification and financial incentive had sig increases in mean daily step count
T/F: in a study testing digital health ability to retrieve data about patient opioids, more patients had a
greater quantity of pills than use
true
what percentage of the GDP is spent on the cost of hospitalization for childbirth?
0.6%
how much more likely is it for a black woman to die from a pregnancy-related cause than a white
woman?
3 times more likely
what is the different between Maven's mission and traditional health care?
Maven supports life stages holistically (Doula care, mental health management, sleep support,
coaching, etc)
EDITION ALREADY GRADED A+
what are some payment reforms that followed the readmission reduction program?
requiring hospitals to disclose their negotiated prices with insurers (Jan 2021) - the gross charges,
discounted prices, payer-specific negotiated prices, min and max negotiated prices, machine readable
file
Goal: force hospitals to post prices so patients know what to expect/can shop around - and can use
these values for bargaining power of insurer
what is the issue with these machine readable files?
they require consumer literacy
why do hospitals want to keep the prices confidential?
because insurers can negotiating by seeing how much other insurers pay the hospital (some hospitals
would rather pay fines than disclose these prices - as of 2023, 4 hospitals fined)
what are some aspects of doctor to patient interactions that are lost in digital health/AI?
trust (when interface is not human, trust is not there), lack of validation, disparities in access
What is Penn Cobalt? How does it work?
mental health/well being platform with individual support, group sessions, and other self-directed
resources.
Go to website, answer questionnaire, brief psych eval, given appropriate level of care
descrie the pull method vs push strategy of Penn Cobalt
pull: individual has to offer up the information, so must be self aware enough to seek it out and
motivated to use the resource
- less productive
push: using low tech solutions, send monthly automated texts to users for reminders and links to
resources
- intermittent mental health assessments at enrollment, months 2, 4, and 6
- similar to the "nudge" that we talked ab in beginning of year --> and this worked!
what are some issues with using digital platforms for health information?
not always accurate, policy makers have different ways of phrasing / talking about health, popular
beliefs in society readily adopted by individuals, who actually controls the internet?
why is social media data, especially Twitter, useful for measuring health / emotional data?
because it is public and easy to access
, what was the emotion that had the greatest increase for ER docs during COVID/post?
loneliness
what word is most correlated to negative online hospital reviews
'told'
in the pilot study that looked at the influence of the mood rater technology, what were the trends of
positive vs negative moods during the day?
from 7am to 5pm, positive moods were higher
from 5pm to 6am, negative moods were higher
describe the wearable device RCT
all veterans*
control group: wore step-tracking device with no goal game/support partner engagement
gamification w/ social support: game with points, levels, and social support tracking mean step count
loss-framed financial incentive: gamification with social support + $120, $10 deducted each week step
count not met
outcome: change in mean daily step count
Key takeaways:
- required daily access to smartphone/tablet
- remote enrollment
- only the group with the gamification and financial incentive had sig increases in mean daily step count
T/F: in a study testing digital health ability to retrieve data about patient opioids, more patients had a
greater quantity of pills than use
true
what percentage of the GDP is spent on the cost of hospitalization for childbirth?
0.6%
how much more likely is it for a black woman to die from a pregnancy-related cause than a white
woman?
3 times more likely
what is the different between Maven's mission and traditional health care?
Maven supports life stages holistically (Doula care, mental health management, sleep support,
coaching, etc)
