Commission for Case Manager Certification (CCMC) Exam 2025 – 400 Free Practice Questions to Pass the Exam

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What is a key feature of the 'pay for performance' model used by Medicare?

Payment based on patient satisfaction surveys

Fixed payment regardless of services

Compensation linked to the quality of care provided

The 'pay for performance' model utilized by Medicare emphasizes compensation that is directly linked to the quality of care provided. This approach is designed to incentivize healthcare providers to improve patient outcomes and enhance the overall quality of care by rewarding those who meet or exceed specific quality metrics. By focusing on performance measures, such as patient health outcomes, adherence to clinical guidelines, and efficiency of care delivery, this model aims to encourage providers to prioritize not only the quantity but also the quality of healthcare services.

In contrast, some of the other options reflect different aspects of healthcare payment models. For instance, payment based on patient satisfaction surveys is related to patient perception and experience, but it encompasses only one element of quality. Fixed payments regardless of services do not promote quality improvement or differentiation based on performance, and payments varying by geographic location address regional cost differences rather than the quality of care itself. Thus, the essence of the 'pay for performance' model is its focus on quality-driven compensation, making it a pivotal component in pursuing better health outcomes.

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Payments that vary by geographic location

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