CEBS GBA 2 EXAM LATEST ACTUAL
EXAM 2025 MODULES 1-12 QUESTIONS
AND DETAILED CORRECT ANSWERS |
A+ GRADE STUDYGUIDE
List top strategies large employers are considering to
improve health and reduce healthcare costs (Mod 1.6)
Correct Answer -Develop/enhance workplace culture so
employees are responsible for own health
-Develop/expand healthy lifestyle programs
-Make changes to avoid excise tax ceiling
-Adopt/expand use of financial incentives to encourage
healthy activities
-Review healthcare benefits in total rewards context
-Analyze viability of private exchanges
-Expand enrollment in account based health plans
(ABHPs)
-Adopt/expand use of new technologies to improve health
engagement and cultivate more informed consumers of
healthcare
-Redefine company subsidy for healthcare
Discuss growing trend of low-cost and on-site health care
clinics (Mod 1.6) Correct Answer Growing trend of low-
cost retail clinics and telemedicine options offers promise
of lowering cost of on-demand care. Ex: CVS Minute
Clinics; includes flu shots, low acuity clinical visits on
demand, physicals, etc. Offers wide range of services from
prevention/basic triage to management of chronic
,conditions (diabetes/HD) - supported by nurse
practitioners and web based technologies; could provide
cost relief but could also exacerbate the problem of
fragmentation in healthcare where coordination of care is
needed.
What is single strongest drive of healthcare cost? (Mod
1.6) Correct Answer Misaligned incentives for providers
created by fee-for-service (FFS) reimbursement. Single
most significant opportunity to lower cost and improve
health/healthcare outcomes can be found in full
implementation of value-based care.
Fee-for service (FFS) is healthcare's most traditional
payment model where physicians and healthcare
providers are reimbursed by insurance companies and
government agencies (third-party payers) based on the
number of services they provide, or the number of
procedures they order. Payments are unbundled and paid
for separately. Big struggle is that even though some of
these may not be needed, or supported by evidence-
based data, still offered.
Value-based care (holistic) is a philosophy of healthcare
realized when clinicians intentionally consider the quality
of care provided, and the overall outcomes of that care, in
relation to cost-efficiency. In the value-based care model
doctors and specialists consider "best practices" when
treating patients, since they are reimbursed for the quality
and efficiency of care they provide. When successful,
,physician entity groups receive incentive payments for
providing better care for individuals at a lower cost.
What is value-based care? (Mod 1.7) Correct Answer
Value Based Care is a transformational change designed
to shift from a predominantly FFS reimbursement
environment, wrought with problems of waste and access,
where providers work independently from one another to
care for individuals, to compensation models that align
incentives for teams of care providers to take ownership of
managing health, cost and outcomes of specific
populations.
Identify two key components of the shift away from FFS to
value based care (Mod 1.7) Correct Answer Focus on
eliminating waste - spending on services that lack
evidence of producing better healthcare outcomes
compared to less expensive alternatives; inefficiencies in
the provision of health care goods and services; costs
incurred while treating avoidable medical injuries
(preventable hospital infections); fraud and abuse.
Another key component includes improving access to
appropriate medical care at the right time, place, cost and
result. Includes the availability of facilities & technologies
during evenings, weekends and other off-peak times, as
well as the growing use connected technology where
patients can speak directly with clinicians in a live video
chat in their homes, etc.
, Employee health benefit plans that are built on value
based accountable care organizations (ACOs/eACOs).
Describe the six essential elements of eACOs. (Mod 1.7)
Correct Answer -Commitment by Employer to built a
robust and sustained culture of health that focuses on
well-being/productivity of EE's through workplace food
options, vending mach, ergonomics, etc
-Health and pharmacy benefit plan design that encourages
use of high-value care, provides incentives for using high-
performance integrated networks and encourages smart
decisions at point of care/conserving $
-Powerful data management and measurement; connects
chronically ill/complex patients with a physician led team
which develops evidence based care plans; provide
experts w/the ability to analyze data in order to determine
drivers of cost, effectiveness, ROI, inform change
-High performance network of health system facilities and
providers paid through value based care, including
PCPs/specialists, etc
-Integrated clinical prescription drug management model
(low net cost purchasing power, aligned formularies)
-Well-designed/well-managed health promotion/workplace
wellness that aligns incentives for engaging in health
assessments, screenings, etc. When care is needed, drive
right care, right time, right place, right price/outcome
Describe the transactional components that must take
place for transformation to value based care to work (Mod
1.7) Correct Answer -Health systems w/multispecialty
practices and sufficient primary care resources build high
performance networks w/population health management
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 TUTORWAC. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
