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AH111 Grantham Week 5 Health Care Delivery Systems Quiz

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(AH111) Week 5 Quiz Question 1 1. What type of reimbursement method involves a fixed monthly sum per enrollee? (found in chapter 9 pg 213) Fee for service Capitation Service fee schedule MCO 10 points QUESTION 2 1. What is one aspect in which managed care differs from conventional insurance? (found in chapter 9 pg 213) Collection of premiums Assumption of risk Responsibility for delivery of services Payments to providers 10 points QUESTION 3 X 1. The CMS uses ____ as an overall measure of a health plan’s quality. (found in chapter 9 pg 214) Collection of premiums Assumption of risk Responsibility for delivery of services Payments to providers 10 points QUESTION 4 1. What was the main purpose of the Health Maintenance Organization Act of 1973? (found in chapter 9 pg 215) Place caps on the rise of health insurance premiums. Rein in the growing power of managed care. Provide an alternative to fee for service. Transfer the control of HMOs from the federal government to private companies. 10 points QUESTION 5 X 1. Which of the following groups has the largest proportion enrolled in managed care plans? (found in chapter 9 pg. 218) Workers in employer-sponsored plans Medicare benefici ...
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