Health maintenance organizations (HMOs): A. are based on the traditional fee-for-service system of paying physicians. B. charge a fixed amount per member, hire many of their own physicians, and provide health services only to members. C. are also known as preferred provider organizations. D. are illegal in several states.
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Health maintenance organizations (HMOs):
A. are based on the traditional fee-for-service system of paying physicians.
B. charge a fixed amount per member, hire many of their own physicians, and provide health services only to members.
C. are also known as preferred provider organizations.
D. are illegal in several states.
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- The decline in hospital days per 10,000 population between 1980 and 2007 reflects: A. An increase in number of times individuals were admitted/discharged from the hospital. B. A decrease in the average length of time they stayed in the hospital once admitted. C. A decrease in number of times individuals were admitted/discharged from the hospital. D. A and B. E. B and C. QUESTION 2 What distinguishes a preferred provider organization (PPO) from a traditional health maintenance organization (HMO)? A. There is no distinction, both HMOs and PPOs are focused on costs and outcomes and are considered managed care organizations B. Both are similar to POSs (point of service plans) C. HMOs are generally more restrictive when it comes to standards and cost controls on providers and enrollees D. All of the above E. A and C onlyWhile the individual mandate clause in the Affordable Care Act (also known as, Obamacare) was still in effect, which market failure in the market for health insurance did it help to reduce? Group of answer choices A.) Increasing Returns to Scale. B.) Moral Hazard. C.) Adverse Selection. D.) Barriers to Entry. E.) Externalities.Employer-provided private health insurance in the United States has resulted in: A. incentives that encourage the overuse of health care.B. incentives that discourage the use of health care, and overall poorer health.C. lower costs of health care as providers better achieve economies of scale.D. comprehensive coverage of the U.S. population, with few lacking access to adequate health care.
- The biggest difference between the United States and Beveridge OR Bismarck counties’ health systems is: a. The US has longer life expectancy for higher income people b. The US permits/tolerates tens of millions of its citizens to be uninsured c. The US does more health technology assessment before utilization than other countries d. The US enjoys spending a higher percentage of its GDP on health care, it is a voluntary choice that reflects preferences for health care over other goods and servicesWhich of the following is a provision of the Patient Protection and Affordable Care Act? Group of answer choices Insurance companies may not legally deny coverage to anyone on the basis of a preexisting medical condition. Every firm must purchase health insurance for their employees or face a $2,000 fine per employee. Every individual must purchase their own health insurance for themselves and their dependents or pay a fine. Adult children of parents with employer-provided health insurance can remain covered by their parents' insurance through age 35.Empirical evidence suggests that state laws mandating health insurance coverage for alcoholism treatment leads to moral hazard on the part of the insured population. Given this information, what are you most likely to observe in a state that has passed such a law? A. Less use of alcohol treatment facilities B. Lower rates of drunk driving C. Higher rates of alcoholism D. Lower sales of alcohol
- Which one is not true about the universal public insurance market The government provides insurance to some citizens Removes the problem of adverse selection Furthers the goal of equity UK offers this type of health insurance provisionTrue or false and explain State policies that mandated the release of physician report cards were greatly beneficial to consumers by allowing them to more efficiently search for high quality surgeons.Prospective payment systems, such as Diagnostic Related Groups ( DRGs), transfers risk from ____ to _____ and _____ incentives for hospitals to provide unnecessarily expensive care to patients a. hospitals; the government; increases b. hospitals; the government; eliminates c. the government; hospitals; eliminates d. the government; hospitals; increases
- _____ is when everyone in a country is covered by insurance that is run and administered by the government. This strategy is effective at combatting _____. a. Means tested health insurance; adverse selection b. Universal public health insurance; adverse selection c. Universal public health insurance; moral hazard d. Compulsory insurance; moral hazard e. Compulsory insurance; monopoly pricing f. Means tested health insurance; moral hazardMake the business case why healthcare providers should advocate for expansion of insurance coverage for the poorIn Turkey, the general health insurance premium payment obligations are regulated?