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QUESTION 16 [Chapter 9) Most states have shifted their Medicaid beneficiaries into private Medicaid managed care/HMO plans. What is the advantage to the state for

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QUESTION 16 [Chapter 9) Most states have shifted their Medicaid beneficiaries into private Medicaid managed care/HMO plans. What is the advantage to the state for doing so? Medicaid patients are more likely to receive coordinated care and preventive services. By paying HMOs a fixed fee per person per month, states are able to shift their risk for higher expenditures to a managed care plan. Medicaid patients are more likely to have access to a physician within the HMO. The HMOs have entered the Medicaid market because they believe they can provide the care less expensively and earn a profit. QUESTION 17 [Chapter 10] When the RBRVS physician payment system was introduced, the physicians whose fees increased were those who: o performed more procedures. were younger. were affiliated with hospitals. performed more cognitive services

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