Industry Trends & Emerging Technologies Flashcards
7 cards from real CCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Industry Trends & Emerging Technologies flashcards as text
The term 'quadruple aim' in healthcare adds which dimension to the original Triple Aim framework?
Answer: Improvement of clinician and care team well-being
The Quadruple Aim adds clinician and care team well-being to the original Triple Aim goals of better population health, better patient experience, and lower per-capita cost.
Which federal initiative created Medicare Advantage Special Needs Plans (SNPs) specifically designed to serve high-risk populations such as those dually eligible for Medicare and Medicaid?
Answer: Medicare Modernization Act of 2003
The Medicare Modernization Act of 2003 established Special Needs Plans to provide tailored benefits and care management for specific high-need Medicare populations.
Social prescribing, an emerging care management practice, involves:
Answer: Linking patients to non-clinical community resources and activities to address social and emotional needs
Social prescribing connects patients to community-based activities, support groups, and social services as a complement to clinical care, addressing SDOH.
A health plan is implementing a digital member engagement platform using push notifications and app-based coaching. The CCM's PRIMARY concern about equity should be:
Answer: Digital divide barriers preventing low-income and elderly members from accessing the technology
Digital-first engagement strategies risk excluding low-income and elderly populations who lack smartphones, broadband access, or digital literacy, exacerbating health disparities.
Which emerging reimbursement approach pays providers a set per-member-per-month fee to deliver comprehensive primary care services, shifting financial risk from payers to primary care practices?
Answer: Primary care capitation or direct primary care advanced payment model
Primary care capitation models pay a prospective monthly fee per attributed patient, incentivizing comprehensive, proactive primary care rather than visit volume.
Natural language processing (NLP) in clinical care management is MOST commonly used to:
Answer: Extract structured clinical data from unstructured physician notes and records
NLP algorithms parse free-text clinical documentation to extract diagnoses, medications, and care gaps that are not captured in structured EHR fields.
The concept of 'hospital at home' (HaH) programs represents which industry trend in care delivery?
Answer: Delivering acute-level hospital care safely in a patient's home to reduce institutional costs and improve satisfaction
Hospital at Home programs deliver acute inpatient-level care—including IV medications, monitoring, and clinical visits—in the patient's home, with CMS waiver support expanding during and after COVID-19.