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1- The proportion of an insurance companys premium income spent on provision of treatments is called the formulary. capitation per member per month. point of

1-

The proportion of an insurance companys premium income spent on provision of treatments is called the

formulary.

capitation per member per month.

point of service.

medical loss ratio.

total premium

2-

Theoretically, the way managed care organizations can reduce total costs by taking the following approach(es)

is to decrease intensity or quantity of services provided.

is to decrease prices paid to providers.

is to drive away small competitors, then force lower prices on all remaining hospitals.

(a) and (b).

(a), (b), and (c)

3-

The U.S. government subsidizes the private provision of health insurance through employers. Benefits paid to employees are deductible as expenses by firms, but not recognized as taxable income by employees. Consider two employees, Ann and Bob, who both receive $12,000 in insurance benefits for their family. Ann earns $30,000 and pays 15% in taxes. Bob earns $75,000 and pays 25% in taxes.

The tax subsidy to Bob is the same as the tax subsidy to Ann.

The tax subsidy to Bob is the greater than the tax subsidy to Ann. This is due to the regressive income tax structure.

The tax subsidy to Bob is less than the tax subsidy to Ann. This is due to the regressive income tax structure.

The tax subsidy to Bob is the greater than the tax subsidy to Ann. This is due to the progressive income tax structure.

The tax subsidy to Bob is the less than the tax subsidy to Ann. This is due to the regressive income tax structure.

4-

Even in a clinic where physicians are more productive than registered nurses in both general patient counseling and specialty patient counseling, it is beneficial to the clinic to have physicians specializing in specialty patient counseling where they have an even greater advantage. The above describes which of the following:

benefit from specializing in absolute advantage

benefit from specializing in comparative advantage

none of the above

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