CDEO Chapter 8 Study Guide with Complete Solutions
9 views 0 purchase
Course
CDEO
Institution
CDEO
CDEO Chapter 8 Study Guide with
Complete Solutions
PREDICTIVE MODELING - Answer️️ -is an analytical review of known data elements
to establish a hypothesis related to the future health needs of patients or a population of
patients
Suspect Logic - Answer️️ -Many organizations utilize a ...
Quality Bonus Payments - Answer✔️✔️-TO make quality of care a priority the Affordable
Care Act set a requirement that CMS make quality bonus payments to Medicare
Advantage plans that earn four or more stars in a five-star quality rating system would
receive a bonus payment. Earning fewer than four stars would receive no bonus.
CMS Demonstration Period - Answer✔️✔️-Beginning in 2012, CMS conducted a
nationwide 3 year demonstration project where by a scaled bonus program was used,
with the expectation that Medicare Advantage organizations with three or more stars
would push themselves toward earning four and five star ratings. During this period,
plans that were at or above three stars would receive quality bonus payments based on
a sliding scale.
Star Ratings - Answer✔️✔️-the star ratings ranked plans on a calse from one to five
stars, in half-star increments defined in the following manner
* 5 STARS = EXCELLENT PERFORMANCE
* 4 STARS = ABOVE AVERAGE PERFORMANCE
* 3 STARS = AVERAGE PERFORMANCE
* 2 STARS = BELOW AVERAGE PERFORMANCE
* 1 STAR = POOR PERFORMANCE
Stars Ratings - Answer✔️✔️-are based on individual quality metrics or measures,
variable weights are given to each measure; those related to outcomes are weighted
highest, followed by patient experience measures and process measures.
Page | 2
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SophiaBennett. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
