One true statement about the compensation arrangement known as the case rate system is that, under this system,
A) Providers stand to gain or lose based on the number and types of treatments used for each case
B) Providers have no incentives to take an active role in managing cost and utilization
C) Payors cannot adjust standard case rates to reflect the severity of the patient's condition or complications that arise from multiple medical problems
D) Payors have the opportunity to benefit from the provider's cost savings

Question

Quizplus · Accepted Answer

The case rate system compensates providers based on the number and types of treatments used for each case, creating an incentive for providers to use more cost-effective treatments and manage utilization to increase their profits.

One True Statement About the Compensation Arrangement Known as the Case