One aspect of Medicare managed care is that _____________.
A) premiums to HMOs are risk-adjusted based on patient diagnoses
B) Medicare pays physicians directly through fee-for-service arrangements
C) additional premiums are paid to all HMOs who employ certified wellness coordinators
D) hospitals with Joint Commission accreditation are not deemed to meet the Conditions of Participation for Managed Care
Correct Answer:
Verified
Q1: Medicare Advantage (formerly Medicare + Choice)
Q2: A core set of standard performance measures
Q3: Determining which insurance is the primary
Q4: The amount of medical expenses that insureds
Q6: The managed care primary care provider (PCP)
Q7: Individuals who are the primary recipients
Q8: The spouse or child of the
Q9: Mid-level providers are often used in managed
Q10: A managed care organization (MCO) that undergoes
Q11: The authorization to receive a specific
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