Homework Answers
Option b, fee for service.
Reason: The payment based on services rendered does not usually contribute to the quality of health care industry,
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QUESTION 3 Under which reimbursement system is driving for market share a primary concern, as payment...
Risk-Based Reimbursement For your assignment, a primary care physician is often reimbursed by Health Maintenance Organizations...
Risk-Based Reimbursement For your assignment, a primary care physician is often reimbursed by Health Maintenance Organizations (HMOs) via capitation, fee-for-service, relative value scale, or salary. Capitation is considered as a risk based compensation. In an effort to understand the intricacies involved with physician reimbursement, particularly in an era of health care reform, identify and interview an expert in the field, such as: Hospital Administrator Managed Care Organization (MCO) executive Health care Consultant Legal Professional Assumption: MCOs use risk-based reimbursement for...
What provider incentives are created under (a) cost-based reimbursement, (b) prospective payment, and (c) capitation?
What provider incentives are created under (a) cost-based reimbursement, (b) prospective payment, and (c) capitation?
Which of the following statements about fee-for-service reimbursement is incorrect? Payment may be cost based. Payment...
Which of the following statements about fee-for-service reimbursement is incorrect? Payment may be cost based. Payment may be charge based. Payment may be on a prospective basis (specified beforehand). Payment may be based on the number of covered lives. Payment may be on a per visit basis.
The Cost of the U.S. Health Care System Describe three different reimbursement methods (e.g., capitation, fee-for-service...
The Cost of the U.S. Health Care System Describe three different reimbursement methods (e.g., capitation, fee-for-service [FFS], pay-for-performance [P4P], value-based, episode of care, prospective reimbursement, diagnosis related group [DRG], patient-centered medical home [PCMH]). Explain why you think one of the reimbursement methods you discussed is more effective at reducing health care costs overall while still ensuring the delivery of quality care. Describe the use of two technological advancements (e.g., electronic medical record [EMRs], electronic health records [EHRs], medical research, improved...
Which payment model provides the least financial risk for payers and the most financial risk for...
Which payment model
provides the least financial risk for payers and the most financial
risk for providers?
Question 14 1 pts What service line does more than half of all NHS expenditures go towards? Acute hospital care, including hospital-based physician services O Primary care services Acute hospital care, excluding hospital-based physician services Community & public health services Question 15 1 pts 60% of all primary care physicians working for the NHS are on nationally negotiated contracts. Which payment models are...
Which of the following statements about the financial risk to providers under different reimbursement methods is...
Which of the following statements about the financial risk to providers under different reimbursement methods is most correct? a. Different payers use different reimbursement methods, so providers face varying levels of risk. b. Prospective payment transfers the cost risk (of each reimbursable episode) from insurers to providers. c. Capitation transfers both cost risk and utilization risk to providers. d. Statements a. and b. are both correct. e. Statements a., b., and c. are all correct.
Which reimbursement method eliminates perverse incentives to increase cost?
Question 3 Which reimbursement method eliminates perverse incentives to increase cost? Fee for service Retrospective reimbursement Resource-based relative value scale Prospective reimbursementQuestion 5Universal health insurance requires which of the following methods to limit the use of technology? Delivering only basic health care Limiting research and development Income-based access to technology Supply-side rationing
i need help with those wuestions please be correct answer please Question 11 1 pts Which...
i
need help with those wuestions please be correct answer please
Question 11 1 pts Which payment model provides the least financial risk for payers and the most financial risk for providers? Reference Pricing O Fee-for-service O Capitation O Pay-for-performance Question 12 1 pts What payment model was dubbed pay-for- process by physicians and played a significant role in what would ultimately become the opioid epidemic? O DRG'S O Pay-for-performance O Fee-for-service Per diem Question 13 1 pts What percent...
Problem 5 Which statement is FALSE about the methods of hospital payment? A. In per diem,...
Problem 5 Which statement is FALSE about the methods of hospital payment? A. In per diem, the insurer is at not risk for the number of services B. In the past, insurance companies made fee-for-service payments to C. With capitation payment, hospitals are at risk for admissions, the D. With DGR, Medicare is at risk with the number of admissions performed on any given day private hospitals based on the principle of "reasonable cost." length of stay, and the resources...
hi i need help with those homework questions please help me with it be clear Question...
hi
i need help with those homework questions please help me with it be
clear
Question 5 1 pts Which payment model reimburses organizations and/or providers based upon the number of days treatment was given? Per diem Capitation Salary Fee-for-service Question 6 1 pts What does the term prospective mean? It is when the reimbursement amount for a service or group of services are set in advance It means that patient's have to call their insurance company ahead of their...
Which payment model
provides the least financial risk for payers and the most financial
risk for providers?
Question 14 1 pts What service line does more than half of all NHS expenditures go towards? Acute hospital care, including hospital-based physician services O Primary care services Acute hospital care, excluding hospital-based physician services Community & public health services Question 15 1 pts 60% of all primary care physicians working for the NHS are on nationally negotiated contracts. Which payment models are...
i
need help with those wuestions please be correct answer please
Question 11 1 pts Which payment model provides the least financial risk for payers and the most financial risk for providers? Reference Pricing O Fee-for-service O Capitation O Pay-for-performance Question 12 1 pts What payment model was dubbed pay-for- process by physicians and played a significant role in what would ultimately become the opioid epidemic? O DRG'S O Pay-for-performance O Fee-for-service Per diem Question 13 1 pts What percent...
Problem 5 Which statement is FALSE about the methods of hospital payment? A. In per diem, the insurer is at not risk for the number of services B. In the past, insurance companies made fee-for-service payments to C. With capitation payment, hospitals are at risk for admissions, the D. With DGR, Medicare is at risk with the number of admissions performed on any given day private hospitals based on the principle of "reasonable cost." length of stay, and the resources...
hi
i need help with those homework questions please help me with it be
clear
Question 5 1 pts Which payment model reimburses organizations and/or providers based upon the number of days treatment was given? Per diem Capitation Salary Fee-for-service Question 6 1 pts What does the term prospective mean? It is when the reimbursement amount for a service or group of services are set in advance It means that patient's have to call their insurance company ahead of their...
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