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Industry Trends & Emerging Technologies Flashcards

7 cards from real CCM practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

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  1. A health system deploys an AI algorithm to prioritize care management outreach, but the algorithm was trained predominantly on data from insured white males. This MOST likely results in:

    Answer: Algorithmic bias that under-identifies high-risk minority patients

    Algorithms trained on non-representative datasets perpetuate existing health disparities by systematically under-scoring risk in underrepresented groups.

  2. Which telehealth policy change made permanent after the COVID-19 public health emergency most expanded access for Medicare beneficiaries?

    Answer: Allowing audio-only telephone visits for behavioral health services

    Permanent authorization of audio-only telephone visits for behavioral health expanded access for Medicare beneficiaries lacking video technology or broadband.

  3. In population health management, a 'hot-spotting' strategy focuses resources on:

    Answer: Geographic areas or individuals with disproportionately high utilization and costs

    Hot-spotting targets the small percentage of patients or communities responsible for the majority of healthcare costs and emergency utilization.

  4. A CCM is evaluating a digital therapeutics (DTx) application for patients with type 2 diabetes. Which regulatory body in the US oversees software-based medical devices intended to treat disease?

    Answer: Food and Drug Administration (FDA)

    The FDA regulates software as a medical device (SaMD), including prescription digital therapeutics intended to diagnose, treat, or manage a disease.

  5. Which emerging model of care delivery uses a multidisciplinary team, often including community health workers, to address both clinical and social needs of high-risk patients in their homes?

    Answer: Complex care or 'super-utilizer' home-based program

    Complex care programs for super-utilizers embed community health workers and clinical staff to manage medical and social needs, reducing emergency department visits.

  6. What does the term 'interoperability' mean in the context of health information technology?

    Answer: The capacity of different health IT systems to exchange and use data seamlessly

    Health IT interoperability refers to the ability of disparate systems to exchange, interpret, and act on shared electronic health information.

  7. Which trend describes the shift of routine and elective procedures from inpatient hospitals to ambulatory surgery centers (ASCs) and outpatient settings?

    Answer: Site-of-care optimization or migration

    Site-of-care optimization moves appropriate procedures to lower-cost ambulatory settings, reducing total cost of care while maintaining safety and quality.