DETAILED ANSWERS \VERIFIED 100%
\GRADED A+
Under a commercial D) An insurance company; a hospital or physician of the
indemnity plan, the employees' choosing
employer pays , which
reimburses
__________
A) A hospital of the
employee's choosing; the
employer
B) An insurance company; the
employer
C) A hospital of the
employees' choosing;
insurance compnay
D) An insurance company;
a hospital or physician of
the employees'
choosing
Organizations using to C) An experience rating
set premiums
assume groups pay different
premiums based on risk
A) A community rating
B) A sliding scale rating
C) An experience rating
D) A per diem rating
, Which of the following is an D) Evidence-based case management
example of managed care's
attempt to improve the
financing and delivery of
healthcare while still
holding down costs?
A) Preauthorization for hospital
admissions
B) Consumer-driven health
plans
C) Utilization management
D) Evidence-based case
management
Which type of HMO employs A) Closed-panel HMO
physicians to provide care
exclusively to its
members?
A) Closed-panel HMO
B) Open-panel HMO
C) Network model HMO
D) Exclusive provider HMO
The Affordable Care Act of D) All of the above
2010 set out to
A) Provide insurance to
the 32 million
Americans still
uninsured
B) Require individuals to
have health insurance
C) Reduce the rate of
increase for Medicare
and Medicaid
spending
D) All of the above