Page 12 - FPGEE Management Q&A Book

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40. What is often used by employers and health a. I only
benefit consultants in evaluating the efficiency of b. I and II only
health plan? c. II and III only
d. All
a. PCP
b. RAD 45. Which of the following controls Medicare?
c. UPC
d. MLR a. FTC
b. PTC
41. Which of the following helps to calculate c. CMS
pharmacy program performance metrics? d. CSA

a. Acid ratio 46. Which of the following should be the part of
b. MLR ratio Drug Utilization Review?
c. PMPM cost ratio
d. DUR/DUE ratio I. Drug-food interaction
II. Duplication of therapy
42. The abuse of prescription drugs in the United III. Direction for use
States is:
a. I only
a. An ongoing problem that is unlikely to change. b. I and II only
c. II and III only
b. On the rise and has a dramatic impact on society d. All
in a multi-factorial way.
47. To prevent accidental poisoning in young
c. Mostly due to endemic prescribing problems. children, which of the following laws was
developed?
d. Mostly due to endemic dispensing problems.
a. PPPA
43. What type of formulary is preferred by b. CSA
physicians? c. PPI
d. FTC
a. Open formulary
b. Closed formulary 48. The primary source of prescription drug
c. Intermediate formulary coverage for Medicare beneficiaries before the
d. Negative formulary enactment of Medicare Part D was:

44. Managed care plans are trying to encourage a. State Pharmacy Assistance Programs.
pharmacies to accept the prescription b. Medicaid Drug Programs.
reimbursements through capitated plans by: c. Department of Defense TRICARE program.
d. Retiree health care coverage.
I. Applying stop-loss provisions that cap potential
losses. 49. The use of a hearing aid would be very effective
in:
II. Carving out certain high-cost disease states.
I. Conductive hearing impairment.
III. Creating risk pools that include large numbers of II. Sensorineural hearing impairment.
pharmacies that share risk. III. Central hearing impairment.

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