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MHA 706 Midterm- Lord Questions & 100% Correct Answers- Latest Test | Graded A+ | Passe $11.49   Add to cart

Exam (elaborations)

MHA 706 Midterm- Lord Questions & 100% Correct Answers- Latest Test | Graded A+ | Passe

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Proprietorships & Partnerships: Pros & Cons -:- Pros: Ease of Information, Subject to a few regulations, no corporation income taxes. Cons: Limited life, difficult to transfer, unlimited life, difficult to raise capital. Corporations: Pros & Cons -:- Pros: Unlimited life, easy transfer of o...

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  • September 3, 2024
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  • Exam (elaborations)
  • Questions & answers
  • MHA 706
  • MHA 706
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2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!



MHA 706 Midterm- Lord Questions & 100%
Correct Answers- Latest Test | Graded A+ |
Passed
Proprietorships & Partnerships: Pros & Cons


✓ -:- Pros: Ease of Information, Subject to a few regulations, no corporation income

taxes.

Cons: Limited life, difficult to transfer, unlimited life, difficult to raise capital.




Corporations: Pros & Cons


✓ -:- Pros: Unlimited life, easy transfer of ownership, limited liability, ease of raising

capital.

Cons: Cost of formation and reporting, double or triple taxes must be paid.




Non-profit Organization


✓ -:- Exempt from taxes. Goal is to improve community.




For-profit Organizations


✓ -:- (Investor Owned) Goal is to maximize shareholder return. Owe taxes.




Agency Problem

1|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

✓ -:- the possibility of conflict of interest between the stockholders and management

of a firm.




Example: Hire someone to carry out a job function, but they go out of their interests instead

of best interests of company/organization.




Third-party payor system in the US (i.e. private vs public)


✓ -:- Private: Blue Cross Blue Shield, Commercial Insurers, Self-Insurers. (AETNA)




Public: Medicare and Medicaid-both offer services to different levels. "Safety net" Lowest

reimbursement rates.




Reimbursement methods (fee-for-service vs. capitation)


✓ -:- Fee for Service: payment is tied to amount of services provided. (Decades ago)

*Dental industry*




Capitation: payment is tied to the size of the covered population (number of enrollees)

Payment is based on per # per month. *Decreasing utilization* Population is healthier.




Medicare reimbursement for different types of providers


2|Page | Grade A+| 2024/2025

, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

✓ -:- Medicare parts A, B & C.




Medicare Part A (aka Hospital Insurance or HI)


✓ -:- Provides hospital insurance automatically at age 65 (if FICA qualified) at no fee

but may have deductible & co-pay.




Medicare Part B


✓ -:- The part of the Medicare program that pays for physician services, outpatient

hospital services, durable medical equipment, and other services and supplies.




Medicare Part C (Medicare Advantage)


✓ -:- •Replaces and covers expenses found in Part A and B

•Medicare private fee-for-service plans (PFFS)


•Medicare managed care plans (HMOs and PPOs)


•Medicare specialty plans




Medicare—Part D Prescription Drug Coverage




3|Page | Grade A+| 2024/2025

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