HFMA CSPR Course 5 Comprehensive Final Exam Review Q & A 2026 (Complete And Verified Study material) (13pages) LEARNEXAMS

1. What is the primary goal of implementing managed care models in healthcare? A. To reduce the quality of care B. To increase healthcare costs C. To improve patient outcomes through coordinated care D. To limit patient choices Answer: C. The primary goal is to improve patient outcomes through coordinated care. Managed care models aim to provide quality care while managing resources effectively. 2. Which of the following is a common incentive for providers in a managed care plan? A. Fee-for-service payments B. Capitation payments C. Unregulated service fees D. Direct patient billing Answer: B. Capitation payments are a common incentive, as they provide a set fee per patient regardless of the number of services provided, encouraging efficient care delivery. 3. An emerging trend in managed care is the use of telemedicine. What is a potential risk associated with this trend? A. Increased face-to-face consultations B. Reduced access to healthcare C. Privacy and security concerns D. Enhanced patient-provider communication Answer: C. Privacy and security concerns are potential risks, as telemedicine involves the transmission of sensitive patient data over electronic networks. 4. Value-based care is an approach where providers are rewarded for: A. The quantity of healthcare services they provide B. The quality and outcomes of healthcare services C. The number of patients they treat D. The amount of healthcare resources they utilize Answer: B. Providers are rewarded for the quality and outcomes of healthcare services, which aligns provider incentives with patient health outcomes.