Question
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?
- First dollar payment for health services
- A bank administered medical savings account.
- Links to traditional health plans such as HMOs and PPOs High deductibles
A withhold is a feature for payment to health care provider that:
- provides a mechanism for reducing risk to the payer.
- restricts covered services to beneficiaries.
- is used most frequently in indemnity health plans.
- 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:
- Stop Loss
- Adverse Selection
- Insurement
- None of the above
Suppose that HCA and Tenet were to merge. Ignoring potential antitrust problems, this merger would be classified as a:
- Cross-border merger
- Horizontal merger
- Conglomerate merger
- 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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