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A High Deductible Health Plan with a Savings Option does not include the following? First dollar payment for health services A bank administered medical savings

A High Deductible Health Plan with a Savings Option does not include the following?

  1. First dollar payment for health services
  2. A bank administered medical savings account.
  3. Links to traditional health plans such as HMOs and PPOs High deductibles

A withhold is a feature for payment to health care provider that:

  1. provides a mechanism for reducing risk to the payer.
  2. restricts covered services to beneficiaries.
  3. is used most frequently in indemnity health plans.
  4. none of the above.

A medical group includes a provision in its contract with an HMO to receive larger PMPM payments if the HMO members are chronically ill. This type of provision is referred to as a:

  1. Stop Loss
  2. Adverse Selection
  3. Insurement
  4. None of the above

Suppose that HCA and Tenet were to merge. Ignoring potential antitrust problems, this merger would be classified as a:

  1. Cross-border merger
  2. Horizontal merger
  3. Conglomerate merger
  4. Vertical merger

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?

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