CPE Healthcare Policy & Advocacy 2

Question 1

Under the ACA's employer mandate, organizations with how many full-time equivalent employees must offer minimum essential coverage or face a penalty?

Accepted Answer

50 or more

Answer

The ACA employer shared responsibility provision applies to applicable large employers (ALEs) with 50 or more full-time equivalent employees.

Question 2

A physician executive advocates for bundled payment models. Which characteristic best defines a bundled payment?

Accepted Answer

A single payment covering all services for an episode of care

Answer

Bundled payments consolidate reimbursement for all providers and services associated with a defined episode of care into a single payment.

Question 3

Which federal law requires hospitals to provide stabilizing treatment to any patient presenting to the emergency department regardless of ability to pay?

Accepted Answer

EMTALA

Answer

EMTALA (Emergency Medical Treatment and Active Labor Act) mandates that Medicare-participating hospitals screen and stabilize emergency patients regardless of payment status.

Question 4

A state legislature is considering a certificate of need (CON) law for new hospital beds. CON programs are primarily intended to:

Accepted Answer

Control healthcare costs by limiting duplicative capital investment

Answer

CON programs require regulatory approval before adding new facilities or services, aiming to prevent excess capacity and control costs.

Question 5

In U.S. health policy, 'global budgeting' most accurately refers to:

Accepted Answer

A fixed aggregate spending cap for all healthcare services in a region or system

Answer

Global budgeting sets an overall spending limit for a defined population or geographic area, shifting financial risk to providers.

(CPE) Certified Physician Executive Practice Test

(CPE) Certified Physician Executive Practice Test

CPE Healthcare Policy & Advocacy 2