Instructions.  Welcome back! Thank you for participating the DBH Alaska Provider Training on Financial Management for Alaska’s Medicaid reform and redesign.  This is the second survey and you are asked to respond AFTER you have completed your financial management training. These surveys are not used to evaluate individual providers and will be used only (1) to assess the improvement of knowledge resulting from the training and (2) to identify future training needs.

At the beginning of the survey, you are asked to provide your e-mail address to facilitate contacting you.  No one other than the trainers will have access to your individual responses.  The survey information is used only to assess the overall effectiveness of the training and not your individual performance.

The estimated time for completion is about  15 minutes; please complete the first survey prior to the training and the second survey after completing the training.

Please select the best response to each of the following multiple-choice questions.  Please read all responses before selecting your choice.  Please record your choice by clicking on your response. In this assessment, it is acceptable to select “I am not sure or I would be guessing.”  Please avoid guessing since if you guess and get it right (but you are really guessing), we are led to think you know the answer (when you in fact you may not) and we may leave out important material in the design of our training program for you. There is no penalty for declaring you would be guessing  or  you are not sure of the answer.
Please be aware some of the questions and all of the answers in this second survey have been modified (except for 16 to 20).
Questions 16 to 20 are for classification in our analysis only.  These questions are NOT scored.

* 1. At what email address would you like to be contacted?

* 2. Which is not an advantage of most bundled, case-rate payment methods?

* 3. Which provider service-line strategy is most supportive of shared-risk contracting?

* 4. What is not an advantage of a diversified payer-mix in an ASO-managed Medicaid system introducing performance contracting?

* 5. Which regular reports best align with the role of the persons within the organization, understanding that the same individuals have multiple roles in smaller organizations?

* 6. Which of the following (with all things considered) presents the best financial information for those re-negotiating contracts with existing commercial payers:

* 7. Which of the following would be the most constructive first step a smaller provider might take to address cash flow problems because of increased days in receivables?

* 8. The Medicaid intermediary payer contacts a provider to explore capitated contracting for a particular sub-population. Which of the following might constitute a financial challenge to the provider new to this method of contracting?

* 9. If planned utilization was 95%, but actual utilization was 90% what might be the underlying explanation?

* 10. In reviewing the variables that relate to unit of service cost, which of the following statements is likely to be TRUE?

* 11. Staff training programs are likely to make clinicians aware of documenting the services they provide. Unit of service costs are computed by dividing the costs of a service (the numerator) by the volume of the services (the denominator). Improved staff compensation for services rendered will affect:

* 12. In your program, the total costs of Services A and B were $300,000 and $200,000, respectively, before allocating $60,000 of administrative overhead costs. How much of the administrative costs should be assigned to Service A if the administrative costs are assigned to individual services based on the proportion of each service cost to total service costs?

* 13. Green Hills Substance Disorder Center has an outpatient program that has a current total cost of $800,000 and 16,000 total hours of service. The outpatient program manager believes the costs can be reduced by $100,000 while the units of service decrease by 1,000. If both the cost reduction and the decrease in the units of service can be realized, what is the impact on the unit of service cost?

* 14. In Medicaid cost reporting requirements, reporting Integration Encounter-Based Services with Relative Value Units (RVU) is:

* 15. Under current Medicaid regulations, a provider

* 16. Choose the answer that most accurately estimates the size of your organization’s operating expense budget:

* 17. Choose the answer that most accurately estimates the size of your organization's staff (including support staff):

* 18. My organization can be best described as (check all that apply):

* 19. If you were to rate your organization today, which of the following would be the most accurate?

* 20. In what areas does your organization have substantial and demonstrated experience?  (Please check all that apply)