Health-Care #2 Exam Quiz #9

5 September 2022

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6 test answers

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question

Capitation is best described as?

answer

Fixed monthly fee per member

question

Under capitation, a lot of the risk is shifted?

answer

From the MCO to the provider

question

Under the fee-for-service system, providers had the incentive to?

answer

Deliver more services than what would be medially necessary because a greater volume would increase their "revenues"

question

How does risk adjustment affect payments to managed care plans?

answer

Risk adjustment takes into account the enrollees' health status

question

In terms of MCO's what is the primary purpose of risk sharing with providers?

answer

It makes providers cost conscious

question

What was the consumers' main gripe against managed care during the 1990's?

answer

Lack of choice of providers