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HSM 546 Week 5 Quiz

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1.

Question :

(TCO F) Which of the following payment policies addresses the issue of selection bias among Medicare risk plans?

:

ISAR adjustments

Regional benchmarks

Risk adjustment

None of the above

2.

Question :

(TCO F) Which of the following standardized measures for quality of care is commonly used for managed care and Medicare programs?

Student Answer:

HEDIS

TQM

SERVQUOL

QOI

 

3.

Question :

(TCO F) Which of the following represents the largest group of persons in the Medicaid program?

Student Answer:

Persons who have low income and minor children

Persons who are economically poor and older

Persons who are in nursing homes or in specialized facilities

Persons who are economically poor and disabled

 

4.

Question :

(TCO F) Outcomes of the TRICARE program suggest that _____.

Student Answer:

cost controls are increased

quality is increased

military reports cards are more favorable

All of the above

 

5. Question :

(TCO F) Which of the following has been adopted as the new quality initiative within the military health system?

Student Answer:

TQM

Six Sigma

CQI

Balanced Score Card

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