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FREE Course 1B - Quiz 1

 

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1)
One of the main themes of a managed system of care is 'containing costs' while also improving the quality of care.
 
True False
 
2)
For the past few years, the 'redesign of the delivery system' has meant that . . .
 
there was a reduction of the pre-managed care Provider Fee Structure by 50%.
the Federal government assumed responsibility for all health care.
there was a massive disqualification of historical providers from participation in the managed care plans.
the Insurance Companies began shifting 'where' and 'how' the treatment money was spent.
 
3)
Under the Affordable Care Act (ACA) we probably won't see any change in how the insurance Marketplace pays behavioral health providers for the care that is delivered.
 
True False
 
4)
The National Alliance For The Mentally Ill (NAMI) has never expressed a concern that the Managed Care industry might put COST CONTROLS ahead of the QUALITY of CARE .
 
True False
 
5)
Which answer is true, according to this lesson? .
 
The use of ‘NARROW NETWORKS’ is becoming the norm in most states, to reduce the cost of the Affordable Care Act
A reasonable goal of a new healthcare plan is to immediately 'fix the system'.
Managed Care is an issue ONLY in Public Health Care Programs. It does not affect private agencies or those in private practice.
 
6)
In the current implementation of the Affordable Care Act, 'Vertical Integration of Care' refers to . . .
 
a cost saving measure which would require us to treat men and women together in groups, regardless of gender and diagnoses.
proposed ACA rules that would require a provider to treat mental health and addiction clients together, in the same treatment modalities.
physical health and behavioral health providers working as a team 'under one umbrella' to treat the whole patient - perhaps being paid a single fee to be shared by all.
 
7)
In the Affordable Care Act (ACA), the term 'Bundled Payments' refers to . . .
 
a new practice in which insurance companies may delay payment to providers - perhaps paying providers only quarterly.
a new practice in which insurance payments must be SHARED among all providers who are involved in the patient's total health condition - for both physical health and behavioral health.
 
8)
One of the problems with managed care is that the Managed Care Companies are NOT allowed to SHIFT where and how the money is spent for treatment services.
 
True False
 
9)
Standardized Level of Care protocols (such as those typically used by Insurance Companies and MCOs in their Care Management process) are believed by many to result in ‘questionable clinical outcomes’ for Chemically Dependant consumers.
 
True False
 
10)
Development of ‘step-down’ services in the community shorten inpatient stays as well as prevent unnecessary admissions to high-level services.
 
True False
 

 

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