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Question 1 (1 point) A foundation model integrated delivery system exists when hospital buys physician practices and places those practices into the...

Question 1 (1 point)

 

A foundation model integrated delivery system exists when hospital buys physician practices and places those practices into the foundation.

Question 1 options:

True

False

SaveQuestion 2 (1 point)

 

In 1994 Tricare was developed and was patterned after many of the managed care elements of the civilian healthcare system to cover the military beneficiaries.

Question 2 options:

True

False

SaveQuestion 3 (1 point)

 

In India the average healthcare expenditure per person is $87 compared to $6,714 per person in the United States. The country that has the best healthcare according to WHO spends $3,554. Which country is that?

Question 3 options:


France


Australia


Canada


Germany

SaveQuestion 4 (1 point)

 

The reported Medical Loss Ratio of a health insurer is the ratio of paid medical claims versus the administrative cost of the premiums paid. Under the ACA large group plans must have a ratio at or above:

Question 4 options:


80%


85%


90%


95%

SaveQuestion 5 (1 point)

 

An analytical method of separating coverage into preferred providers and non-preferred providers is to use:

Question 5 options:


Claims data


Provider profiles


DRG data


ICD-10 coding

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