Question

the patient protection and affordable care act (ppaca) requires cms to establish a medicare shared savings program to:
a. enter into contracts with entities to perform cost report auditing, medical review, anti-fraud activities, and the medicare secondary payer (msp) program
b. review billing trends and patterns of providers whose billings for medicare services are higher than the majority of providers in the community
c. measure data about health conditions common among medicare beneficiaries and that typically result in hospitalization
d. facilitate coordination and cooperation among providers to improve the quality of care for medicare fee-for-service beneficiaries and to reduce unnecessary costs

Explanation:

The Medicare Shared Savings Program under PPACA aims to enhance care quality for Medicare beneficiaries and cut unnecessary costs. This is achieved by promoting coordination and cooperation among providers. Option a pertains to other Medicare - related activities like auditing and anti - fraud. Option b is about billing review. Option c is about measuring health - condition data. Option d directly addresses the core purpose of the shared savings program which is provider cooperation for better care and cost - reduction.

Answer:

d. facilitate coordination and cooperation among providers to improve the quality of care for Medicare fee - for - service beneficiaries and to reduce unnecessary costs