HSM 340 DeVry Week 7 Quiz

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HSM 340 DeVry Week 7 Quiz

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HSM 340 DeVry Week 7 Quiz

HSM340

HSM 340 DeVry Week 7 Quiz

HSM 340 DeVry Week 7 Quiz

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)