Dr. Slonim

Question 1

What changes did the ACA make?

Answer 1

preexisting conditions
stimulus funding for health professions
accountable care organization

Question 2

What is an ACO?

Answer 2

takes responsibility for a pop of patients
responsible for cost & quality of care
tot cost/quality (value proposition)

Question 3

HOw do you measure quality?

Answer 3

satisfaction
outcome measures for chronic disease
coordination of care
preventative care

Question 4

What are the payments when receiving inpatient care?

Answer 4

check to hospital for coordination of care

check to doctor

Question 5

What are the payments when receiving outpatient care?

Answer 5

check for each intersection point, specialist, pharmacy etc

should form networks to manage the coordination

Question 6

Behavioral Health Networks should include what?

Answer 6

ER assessment
inpatient intensive therapies
outpatient intensive therapies