Cost shifting - Study guides, Class notes & Summaries

What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 ACA - ANSWER-Affordable Care Act HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...

MHA 710 - HEALTHCARE ECONOMICS - EXAM 3 NEWEST UPDATE 2024 ACTUAL QUIZ QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION;(100% CORRECT) In order to be a successful price discriminator, a provider must have a degree of market power (depicted by a downward-sloping demand curve) and meet what other condition(s)? a. Customers cannot know that different prices are being charged. b. Markets must be segmentable, identifying differences in ability to pay. c. Demand for services must be relatively price...

BSNS 113 Final Exam Revision Questions And Correct Answers. Perfect Solution For Your Exam Preparation. "Economy-wide phenomena including inflation, unemployment and economic growth" is what type of economics? Macroeconomics "The study of how house holds and firms make decisions and how they interact in markets" is what type of economics? Microeconomics What is Positive Analysis? A statement describing how something is What is Normative Analysis? A statement describing how somethin...

LSUS MHA 706 Midterm Questions and Answers Graded A+ Question: What is the primary goal of healthcare financial management? Answer: The primary goal of healthcare financial management is to ensure that healthcare organizations have the financial resources to provide high-quality patient care, sustain operations, and achieve strategic objectives while maintaining financial stability. Question: How does cost-shifting impact healthcare providers? Answer: Cost-shifting occurs when hea...

TEST BANK for Canadian Income Taxation Planning and Decision Making, 25th Edition by William Buckwold, Joan Kitunen, Matthew Roman, Abraham Iqbal, ISBN-7. All Chapters 1-23. (Complete Download) Version 1 1 CHAPTER 1 1) Which of the following is not considered to be a separate entity for tax purposes in Canada? A) An individual B) A proprietorship C) A corporation D) A trust 2) Which of the following attitudes and actions is most likely to help decision-makers develop an efficient app...

What is autonomy? Involves providing the patient with a rational understanding of their disorder and options for treatment. The patient will then use that information to make a decision for themselves. What is Thought Process? The way in which a client thinks What is case formulation? -used in treatment planning to justify a level of care, specify treatment needs, provide rationale for legal adjudication, immediate safety measures and ensure reasonable cost containment -hypothesis ...

Florida 6-20 All Lines Adjuster Test| 276 questions| 50 Pages| With Complete Solutions Florida 6-20 All Lines Adjuster Test| 276 questions| 50 Pages| With Complete Solutions A public adjuster represents the interest of: A. The insurer B. The Insured C. The employer D. The interest of the general public - Correct Answer -B. The insured Which of the following is the type of report that indicates the initial results of a claim investigation? A. Field Report B. Interim Report C. Full Re...

CSBI – HFMA QUESTIONS ANSWERED 100% CORRECT, SCORED A+ What has changed for Healthcare Analytics? 1 - Increased computing power and storage, decrease in cost; 2 - increased abundance of data in healthcare; 3 - increase in individuals having strong competencies Big Data Refers to the Growth in available data, massive continually increasing volume of live and stored data for analysis; and the increase in tools available for highly sophisticated ways to combine and analyze data to yie...

WGU C425 Final Exam Questions With 100% Verified Answers | Latest Update 2023/2024. What Is Health? - ANSWER--U.S. health care has followed a medical/biomedical model. - It assumes illness or disease thereby emphasizing clinical diagnosis and medical in the treatment of disease or its symptoms. - It emphasizes • Clinical diagnosis and medical interventions to: - Treat disease or its symptoms. - Have a clinical diagnosis and medical interventions. Largely governed by the medical model/...

Solution manual for Canadian Income Taxation 20222023 25th Edition by William Buckwold, Joan Kitunen, Matthew Roman CHAPTER 1 TAXATION― ITS ROLE IN BUSINESS DECISION MAKING Review Questions 1. If income tax is imposed after profits have been determined, why is taxation relevant to business decision making? 2. Most business decisions involve the evaluation of alternative courses of action. For example, a marketing manager may be responsible for choosing a strategy for establishing ...