The Acorn Health Plan Uses a Resource-Based Relative Value Scale

question 168

Multiple Choice

The Acorn Health Plan uses a resource-based relative value scale (RBRVS) to help determine the reimbursement amounts that Acorn should make to providers who are compensated under an FFS system. With regard to the advantages and disadvantages to Acorn of using RBRVS, it can correctly be stated that

• A) An advantage of using RBRVS is that it can assist Acorn in developing reimbursement schedules for various types of providers in a comprehensive healthcare plan
• B) An advantage of using RBRVS is that it puts providers who render more medical services than necessary at financial risk for this overutilization
• C) A disadvantage of using RBRVS is that it will be difficult for Acorn to track treatment rates for the health plan's quality and cost management functions
• D) A disadvantage of using RBRVS is that it rewards procedural healthcare services more than cognitive healthcare services

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Definitions:

Insulin

A hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose into tissues.

Goiter

An abnormal enlargement of the thyroid gland, which can lead to a noticeable bulge in the neck, often caused by iodine deficiency.

Thyroid

A gland in the neck that produces hormones regulating growth and metabolism.

Abnormal Enlarged

An atypical condition characterized by the increase in size of an organ, tissue, or other body part beyond the normal range.