Question

Medicare is funded on the federal and state level, designed primarily to cover those individuals over the age of 60. True False Question 7 (1 point) The idea of creating Integrated Delivery Systems is in preparation for the concept of "covered lives" as part of healthcare reform. This concept of getting paid a fixed amount, per covered life, for a period of time is known as capitation True False

Answer 1

1) ans) false

Medicare is the federal health insurance program created in 1965 for people ages 65 and over, regardless of income, medical history, or health status.

The program helps to pay for many medical care services, including hospitalizations, physician visits, prescription drugs, preventive services, skilled nursing facility and home health care, and hospice care.

2) ans) True

Capitation is a payment arrangement in which a physician is paid a set amount for each patient assigned to them. The average remuneration is based on the average expected health care utilization of that patient, with greater payment for patients with significant medical history