Looking to the Future
RequiredRequired Question(s)
Required 1.

Population health management can best be defined as:

The intent of the health plan to manage the overall costs of care for a population of patients.
A concept which promotes the overall health of a group of patients through the cooperation of providers and a health plan.
A concept which promotes the overall health of a group of patients through cooperation by a group of providers.
None of the above
Required 2.

There are three steps in implementing business intelligence. Which of the groups of steps below represents these three steps?

Data analysis, data availability, data integrity
Data strategy, data analysis, data integrity
Data strategy, data availability, data integrity
Data strategy, data availability, data analysis
Required 3.

Which of the reimbursement models below establishes a single prospective rate to all providers involved in the patient's care for the providers to divide equitably among themselves?

Capitation
ACO
Bundled payment
Fee-for-service
Required 4.

Which of the following describes the organization of primary care providers into a coordinated team to meet a patient's healthcare needs?

Fee-for-service
Capitation
Medical home
Bundled payment
Required 5.

Prairie Family Care currently has a contract with Premier Health Plan to provide primary health care services to about 5,000 Premier members. Prairie has been paid 75% of charges for services but the contract will expire soon. Which of the following items represents a potential risk to Prairie Family Care if they accept capitation from Premier?

Increased fee-for-service payments
Potential losses from increases in service utilization
Decreased speed of payment collection
Potential windfall profits from providing previously noncovered services
Required 6.

Please enter your HFMA Member ID number.

 

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