The following statements are about fee-for-service (FFS) payment systems. Select the answer choice containing the correct statement:
A) A discounted fee-for-service (DFFS) system is usually easier for a health plan to administer than is a fee schedule system.
B) A case rate payment system offers providers an incentive to take an active role in managing cost and utilization.
C) One reason that health plans use a relative value scale (RVS) payment system is that RVS values for cognitive services have traditionally been higher than the values for procedural services.
D) One reason that health plans use a resource-based relative value scale (RBRVS) is that this system includes weighted unit values for all types of procedures.

Question

Quizplus · Accepted Answer

A case rate payment system offers a fixed payment for a specific episode of care, encouraging providers to manage costs and utilization efficiently. Discounted fee-for-service (DFFS) and fee schedule systems do not necessarily incentivize cost management or efficiency. The statement in option C is also incorrect because the relative value scale (RVS) payment system is specifically designed to balance the values assigned to cognitive and procedural services.

The Following Statements Are About Fee-For-Service (FFS) Payment Systems