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Devry HSM340 week 7 quiz




Question;Page 1;Question 1.1. (TCO 7) Employee covered health plans are most;likely to be? (Points: 5);High deductible;health plans with a savings option.;HMOs.;PPOs.;Traditional;indemnity plans;Question 2.2. (TCO 7) Capitation plans are more common for;physician payment because: (Points: 5);they can better;control utilization.;physicians want;more risk in their payment plans.;they are concerned;about adverse selection.;physicians have;larger reserves and can assume more risk.;Question 3.3. (TCO 7) The James Clinic is an organization of;100 physicians in a variety of specialties. They recently contracted with;Prudential Health Plan on a capitated basis to provide all medical services to;Prudential's members for the next three years. This HMO model would be defined;as a: (Points: 5);Staff Model;Group Model;Individual;Practice Association Model;Network Model;Question 4.4. (TCO 7) Suppose that AT&T had made an;offer to acquire Merck Pharmaceuticals. Ignoring potential antitrust problems;this merger would be classified as a: (Points: 5);Cross-border;merger;Horizontal;merger;Conglomerate;merger;Vertical merger;Question 5. 5. (TCO 7) An HMO has a Point of Service (POS);option for its members, but will pay only 80 percent of approved charges. If a;member goes out of network for a medical procedure with a charge of $2,000, of;which $1,200 is approved, how much must the member pay? (Points: 10);Question 6. 6. (TCO 7) A hospital incurs $10 million of cost;to treat Medicaid patients and receives $7 million in payment. Actual charges;for these Medicaid patients were $20 million. The net community benefit expense;that would be reported in Schedule H of IRS Form 990 would be? (Points: 10);Question 7. 7. (TCO 7) How is charity care usually defined?;(Points: 10)


Paper#58387 | Written in 18-Jul-2015

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