Assignment:
Question 1. Who has final responsibility for all aspects of an HMO?
- Chief Executive Officer (CEO)
- Chief Compliance Officer (CCO)
- Chief Operating Officer (COO)
- Board of Directors
Question 2. Risk pools are usually categorized by which of the following?
- The age and sex of the enrolled members
- Pool of doctors (PODs)
- Types of medical services
- None of the above
- All of the above
Question 3. Which of the following forms of hospital reimbursement contain no elements of risk sharing by the hospital?
- Capitation
- DRGs
- Per diem
- Sliding-scale FFS
- Per diem and sliding-scale FFS
Question 4. Common areas of clinical focus subject to hospital P4P programs include __________.
- community-acquired pneumonia
- congestive heart failure
- acute myocardial infarction
- prevention
- community-acquired pneumonia, congestive heart failure, and acute myocardial infarction only