Pay-for-performance (P4P) programs are initiatives implemented by the government, insurance companies, and other groups to reward providers for meeting certain performance targets in the delivery of healthcare services
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- Explain the ways in which trends within Medicare, Medicaid, and third-party payers affect working capital and the cost elements associated with the revenue cycle within a U.S.healthcare organization. Please include one reference.Social insurance: is not found in the U.S. would most likely provide more extensive coverage for dementia treatments than family or private savings. is based on actuarially fair premiums. is funded by voluntary contributions from large corporations. does nothing for people who cannot afford to buy insurance or for people excluded from purchasing insurance (e.g., people with disabilities).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 primary purpose of he Coordinalion of Benefits provision found in most group Major Medical policies is to perform which of the following funclions? A.Providing coverage for insureds who are leaving heir employment B.Preventing a claimant from profiting from an injury or sickness C.Allowing an insured to receive bolh Disability Income benefits and Medical Expense benefits if entilled o both D.Permitting an insurance company to pay benefits direclly to providers of medical servicesAn employee who owns an individual Disability Income policy is injured in an automobile accident and files Proof of Loss with the insurance company. Under he Payment of Claims provision in the policy, the company will likely pay the policy benefits to the A.insured's employer b.insured's attending physician if the insured has assigned the benefits c.insured's beneficiary D.insuredThe size of the uninsured and underinsured population in the United States has become an indication of the access problems in the US healthcare system.TrueFalse Health economics can be defined as An examination of factors that impact healthcare An explanation of theories, models and tools that can be applied to understand costs, access, and quality One way to understand how best to compare and contrast alternatives Help healthcare leaders understand the costs and consequences of options All of the above
- The Affordable Care Act contained provision for dramatic expansion of the Medicare program.TrueFalse QUESTION 11 Health economics can be defined as: A. An examination of factors that impact healthcare B. An explanation of theories, models and tools that can be applied to understand costs, access, and quality C. One way to understand how best to compare and contrast alternatives D. Help healthcare leaders understand the costs and consequences of options E. All of the above QUESTION 12 The largest health insurance program in the United States is A. Medicare B. Blue Cross-Blue Shield C. Veterans' Affairs D. MedicaidWhich of the following best describes the term annual health insurance deductible? A. the amount that is deducted from your paycheck each year to pay for your policy O B . the amount that you can subtract from your yearly tax return if you provide evidence of continuous health insurance coverage over the past 12 months C. The amount you pay for covered health care services before your insurance plan starts to pay. D. none of the aboveWhat questions would you ask about the Federal Health Policy importance? Note:- Do not provide handwritten solution. Maintain accuracy and quality in your answer. Take care of plagiarism.Answer completely.You will get up vote for sure.
- The AMA has been actively involved in shaping the regulation of nursing and other health care practioners. What are the arguments for and against the AMA determining the scope of legitimate activities for other health care practitioners?Which of the following influence the payment of a healthcare charge? Select all that apply. 1. insurance discounts 2. self-pay reduction 3. government contractual allowance 4. costs of the unit of service Note:- Do not provide handwritten solution. Maintain accuracy and quality in your answer. Take care of plagiarism. Answer completely. You will get up vote for sure.In the context of implementing a program budgeting and marginal analysis (PBMA) exercise, the following information on two programs of care, A and B has been determined within the health care budget: Programme A Program B Marginal cost £350 £400 Marginal benefits (Healthy Years) 12 18 Calculate MB/MC and explain the interpretation of these ratio.