With service health insurance arrangements, insurers: Select one:
a. Establish contractual arrangements with both consumers and providers
b. Establish contractual arrangements only with consumers
c. Establish contractual arrangements only with providers
d. Offer health care services under the auspices of their own health care professionals
Option A is correct regarding service health insurance arrangements.
Because in this the insurers establish contractual arrangements with both consumers and providers with a view to protect the consumers against the inability condition of the insurers to pay towards the settled claims by the party.
Hence this system facilitates the best services to the patient as the consumer in the healthcare scenario.
With service health insurance arrangements, insurers: Select one: a. Establish contractual arrangements with both consumers and...
With indemnity health insurance arrangements, the bulk of risk is born by: Select one: a. The insurance company b. The health care providers c. The consumers who hold insurance policies d. Government, who reimburses the insurance companies for losses they incur
Preferred provider organizations (PPOs) are relatively new forms of managed care. Preferred provider organizations are: Select one: a. Physician organized groups that provide discounted medical treatment to underprivileged or disadvantaged groups of people b. Organizations of physicians and other health care professionals who charge a standard, hourly fee for services c. Organizations created by insurance providers which offer medical coverage with doctors inside and outside of the organization's guidelines d. Created by insurance companies via networking with physicians and hospitals...
If the price for a given health care service is $500 and the contractual allowance is $150, what is the organization’s net revenue for the service? a. $150 b. $350 c. $500 d. $650
Question 38 1.33 pts What is voluntary health insurance? (Level 1) O a. Government-sponsored health insurance O b. Health insurance that covers only hospital services O c. Health insurance sponsored by a hospital Private health insurance Question 39 1.33 pts Congress mandating that employers offer health insurance was a factor that led to the rapid expansion of employer- based health insurance. (Level 2) True False La Question 36 1.33 pts Based upon the text and class discussions, there were only...
Nurses who work on a medical unit do not have personal professional liability coverage. In the event of a lawsuit, which options are true? (Select all that apply.) a. They will be covered under the professionals' group policy. b. They need to contact their own attorneys. c. They will be covered with their state's Emergency Health Care Providers policy. d. They may be refused coverage under the employer's insurance policy. e. They can be covered under the employer's insurance policy.
The health insurance mode that offers the least flexibility 44. a. fee-for-service. b. health maintenance organizations. c. preferred provider organizations. d. exclusive provider organizations. state Which of the following services must be covered by Medicaid in each Family planning services b. 45. a. Transportation of medical care Nurse Midwife services c. d. All of the above d. Co-insurance. 25. A certain percentage of the allowed amount that the policyholder is responsible for is a. premium. b. deductible. c. co-pay d....
4. Both Rand Health Insurance and Oregon insurance experiment evaluate the role of prices on the quantity demanded of health care and services. These studies find that the quantility demanded of health care is _ to prices and the demand is (a) irresponsive; elastic (b) responsive; inelastic (c) responsive; perfectly inelastic (d) irresponsive; inelastic 1. Refer to the table below for questions 1 to 3: X Values Y Values 0 1 4/3 30 The Y-intercept is a. 2 b.-2
Which statement accurately describes an assumption underlying the successful operation of markets? Select one: a. Individuals are often overwhelmed by conflicting information. b. Individuals are highly influenced by professional advice. c. Individuals' tastes for goods and services are predetermined. d. Individuals are not always rational. Which aspect of Assumption 1 does the text describe as the more troubling issue in health care? Select one: a. Individuals are rational. b. Individuals know what goods and services are likely to make them...
Considering entrepreneurial, mandated insurance, and national health service models: a. Which model do you think results in the greatest equity of access to health services? Why? b. Which model is most likely to deliver the highest-quality care? c. Which is the best model? Would this model work in the United States or your own country of origin (if not the US)? Why or why not?
QUESTION 34 In terms of employers providing health insurance, under the health care reform law: Oa. Large employers that don't offer affordable health coverage will be penalized Ob. Small employers with up to 50 employees will not be penalized if they don't offer affordable health coverage but some of them may however receive tax credits if they do so. Oc. This provision was postponed but is now in full implementation since the beginning of 2016 2016 O d. All of...