2024 Population Health Management: It’s More Than Just Seeing Patients (30) – Post Test – Cyatl Courses

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Question 1 of 10

1. Question
1. The session noted five domains of Social Determinants of Health (SDOH) for Screening recommended by CMS in all sites of care (inpatient and ambulatory). These include all BUT
- a. Interpersonal Safety
- b. Food Insecurity
- c. Illiteracy Assessment
- d. Housing Instability
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Question 2 of 10

2. Question
2. Medicare has partnered with commercial insurance companies to assist in managing the healthcare of some geographic subpopulations of Medicare Beneficiaries. These “Medicare Advantage (MA) Plans” (select all that are correct)
- a. Have successfully stopped the financial hemorrhage of the Medicare program
- b. Are growing faster than Traditional Medicare (TM) and in 2023 had a larger population of covered lives than TM for the first time ever
- c. Have healthcare utilization with MA oversight down but savings have fallen far short of Congress’ expectations.
- d. Though MA providers have bipartisan support, other policy groups (Medicare Payment Advisory Commission – MedPAC) have stated that MA plans are overpaid relative to TM
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Question 3 of 10

3. Question
3. Which of the following CMS Stars Quality measure(s) is/are triple weighted in 2024? Select ALL that are triple-weighted.
- a. Diabetic optimal control, getting the A1c below 7.5
- b. Statin use in all persons with Diabetes
- c. Optimal blood pressure control in hypertensives, getting the BP below 140 systolic AND below 90 diastolic.
- d. BMI capture of all patients with BMI over 40
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Question 4 of 10

4. Question
4. The diabetes Medicare Stars Quality care measure is an end-of-year measure looking at the total population of diabetics with an A1c below
- a. 7.5
- b. 8
- c. 8.5
- d. 9
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Question 5 of 10

5. Question
5. Which of the following Stars medication related measure is NOT triple-weighted?
- a. Medication Reconciliation Post Discharge
- b. Medication Adherence for Diabetes
- c. Medication Adherence for Hypertension (RAS)
- d. Medication Adherence for Cholesterol (Statin use)
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Question 6 of 10

6. Question
6. The session referenced waste in healthcare expense. Which of the following are not examples of such expenditure waste (choose all that are correct)?
- a. Going to the ED for a dull headache of 2 days duration at 2pm when your PCP office is open.
- b. Ordering a mammogram in a 55-year-old female who is in your office for a follow-up of hypertension, since she has never had a screening exam prior.
- c. Ordering an Echocardiogram on an asymptomatic and stable patient who was discharged from the local hospital three days prior. Another Echocardiogram was done during that stay, but you don't have the records yet.
- d. Ordering an MRI of the lumbar and thoracic spine in a patient with low back pain of 4 days duration. Examination is non-focal, and the patient has not tried OTC medications. There is no history of prior injury or associated illness.
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Question 7 of 10

7. Question
7. Correct capture of HCC chronic conditions plays a part in population health management by (select all that are correct)
- a. Increasing premium revenue so that shared savings is always met
- b. Allowing for a better clinical picture of a patient’s degree of illness with higher HCC scores indicating greater disease burden
- c. Helping differentiate who does and does not need a Medicare Wellness Visit in January of each year
- d. Matching up Social Determinants of Health based on zip codes for population outreach initiatives
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Question 8 of 10

8. Question
8. CMS uses post-visit surveys to measure patient experience that in Measurement Year (MY) 2023 makes up 29% of our quality “grade” (down from 35% in MY 2023). Which of the below topics represent some of the Health Outcomes Survey (HOS) measures that CMS expects providers to assess? Select ALL that are correct.
- a. Improving or Maintaining Physical Health
- b. Improving Cognitive Acumen
- c. Improving Bladder Control
- d. Reducing the Risk of Falling
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Question 9 of 10

9. Question
9. Various strategies suggested in the session to assist in promoting physician/NPP satisfaction include (choose all noted in module)
- a. Developing a physician-led team to help co-manage complex, high-risk patients with an NPP sharing in the workload
- b. Having office staff educate patients that non-emergent messages can wait until the next day and complex messages need to be managed via telehealth or in-person visits for completeness
- c. Add more MA patients to your panel since there is less scrutiny and push-back on diagnostic studies ordered with MA patients
- d. Begin to transition out of TM and move into a Direct Primary Care model of practice given the huge revenues and enhanced quality of life reported in this session via DPM
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Question 10 of 10

10. Question
10. The Comprehensive Diabetes Care measure has been retired and is replaced by the Kidney Health Evaluation for Patients with DM (“KED”) measure. This test is to be done once per year to assess the renal status in diabetics. It is comprised of which tests? Choose all that are correct.
- a. The serum Creatinine
- b. The HbA1c
- c. The uACR, the urine albumin-creatinine ratio
- d. The eGFR, the estimated glomerular filtration rate
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2024 Population Health Management: It’s More Than Just Seeing Patients (30) – Post Test

2024 Population Health Management: It’s More Than Just Seeing Patients (30) – Post Test

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