An IPO is a corporate umbrella for the management of diversified healthcare

An ipo is a corporate umbrella for the management of

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An IPO is a corporate umbrella for the management of diversified healthcare delivery systems. The system may include one or more hospitals, a large group practice and other healthcare operations. Physicians practice as employees of the organization or in a closely affiliated physician group. Question 4 ACOs are similar to HMOs in that they have shared risks. They do have differences – which statement is TRUE? Selected Answer: The ACO is formed with only 5,000 lives instead of HMOs that generally have hundreds of thousands of lives. 4 out of 4 points 4 out of 4 points Review Test Submission: Chapter 2 Review – MBC-201-900 -... ... 2 of 11 8/4/17, 6:59 PM
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Answers: ACOs requires a five-year commitment Both HMOs and ACOs function as an insurance company. The ACO is formed with only 5,000 lives instead of HMOs that generally have hundreds of thousands of lives. ACO’s are performance based while HMO’s are not Response Feedback: CMS has established that an ACO is responsible for only 5,000 lives, and requires a minimum of a three-year commitment. ACOs do not function as insurance companies. Question 5 The Protecting Patients and Affordable Care Act (PPACA) is a federal mandate which establishes that coverage can no longer be denied for _______. Selected Answer: Pre-existing conditions Answers: Being unemployed Pre-existing conditions Having other coverage Having high medical costs Response Feedback: PPACA stipulates that coverage cannot be denied for pre-existing conditions, maternity care, newborn care, mental health services, and preventive care. Question 6 What Medicaid services are eligible for reimbursement for an individual that is not a citizen or does not have eligible immigration status? Selected Answer: No services are covered Answers: No services are covered All services are covered Emergency services Outpatient services only Response Feedback: To be eligible for Medicaid an applicant must be a US citizen or provide proof of immigration status unless applying for Emergency services. 4 out of 4 points 0 out of 4 points 4 out of 4 points Review Test Submission: Chapter 2 Review – MBC-201-900 -... ... 3 of 11 8/4/17, 6:59 PM
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Question 7 Which type of HMO contracts with multiple specialty groups, individual practice groups, and individual physicians? Selected Answer: Network Model HMO Answers: Group Model HMO Mixed Model HMO Network Model HMO Hybrid Model HMO Response Feedback: A Network Model HMO is an HMO that contracts with more than one multi- specialty group, individual practice groups and individual physicians so a variety of services may be offered to its members. Question 8 Which of the following statements is true regarding the key provisions of coverage under the Affordable Care Act (ACA)?
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