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Course 3A_L3 - Quiz 3

 

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1)
In Behavioral Health Managed Care Programs . . .
 
there are no opportunities for a provider or program to assume LIMITED RISK.
providers are almost always in a state of extreme risk.
the HMO's RISK affects the providers.
all of the above
none of the above
 
2)
The HMO's decisions about a client's treatment may contradict how treatment has always been provided.
 
True False
 
3)
Based upon information presented in this lesson, it is _________________ to consider flexible programming and new treatment options.
 
never a good idea
an unacceptable legal risk
a good idea
generally a bad idea
 
4)
In order to make the money stretch for the life of the contract, the at-risk entity (typically an HMO or BHO) CONTAINS OR LIMITS ITS RISK in ways which impact . . .
 
HOW the money is spent (on what services)
WITH WHOM the money is spent (with which providers)
providers in ways that are NOT all 'bad'.
All of the above
None of the above
 
5)
In a CASE RATE provider contract, the provider _________________ than he would have in a fee-for-service agreement.
 
is given more control of treatment
is given less control of treatment
is given the same control of treatment
 
6)
ACT, which stands for _________________ is one form of CASE RATE that is a form of Limited Risk Sharing by the provider.
 
Alternative Client Training,
Augmented Consumer Treatment,
Assertive Community Treatment,
 
7)
'Pre-Payment For A Limited Set of Front-End Services', and a 'Flat Rate Provider Contract', are
 
both examples of Case Rate contracts.
too risky for a provider to consider.
examples of Limited Risk Sharing that are worth consideration by some providers.
no longer allowed according to Federal Regulations.
 
8)
CASE RATES, as part of Provider Agreements, are appropriate and applicable to which individuals who have a history of repeated relapse and recidivism to intensive levels of care:
 
children and adolescents
adults with major mental illness
chemically dependent individuals
All of the above
All EXCLUDING chemically dependent individuals
 

 

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