VanRein Compliance - Devoted Model of Care Questions with Correct Answers
3 views 0 purchase
Course
Devoted health care
Institution
Devoted Health Care
Which types of Medicare Advantage plans need to submit a Model of Care? Correct Answer-Only Special Need Plans (SNPs)
Who creates the requirements for a Model of Care? Correct Answer-CMS (the federal government)
Compared to members just on Medicare, dual eligibles are more likely to Correct A...
VanRein Compliance - Devoted Model of Care
Questions with Correct Answers
Which types of Medicare Advantage plans need to submit a Model of
Care? Correct Answer-Only Special Need Plans (SNPs)
Who creates the requirements for a Model of Care? Correct Answer-
CMS (the federal government)
Compared to members just on Medicare, dual eligibles are more likely
to Correct Answer-A + B (Be younger than 65 and Be older than 85)
Compared to individuals just on Medicare, dual eligibles are more likely
to: Correct Answer-Both A + B (Have 6 or more chronic conditions and
Have behavioral health or substance abuse challenges)
Individuals over 75 are more likely to have cardiac conditions than
individuals under 75? Correct Answer-TRUE
African Americans, Hispanics, and American Indians have lower rates
of diabetes than the general population? Correct Answer-FALSE
Which age group of Medicare members has the highest rates of diabetes
related hospital events? Correct Answer-Those under 65
, What are some of the ways Devoted tries to do a Health Risk
Assessment (HRA) with SNP members? Correct Answer-- Sales agents
and brokers after a prospect completes an application
- Service guides during a welcome call
- A mailed HRA
How often does Devoted have to do a HRA with SNP members? Correct
Answer-- Within 90 days of when the member enrolls
- Every 365 days since the last HRA
Health Risk Assessment results are used to build the care plan for SNP
members? Correct Answer-TRUE
Every SNP member has an individualized care plan for them? Correct
Answer-TRUE
Which of the following is almost always part of the SNP member's care
team? Correct Answer-The member's PCP
If you're not on the member's care team, can you work with or help out
that SNP member? Correct Answer-Yes
Providers seeing SNP members also have to do Model of Care training?
Correct Answer-TRUE
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 cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.