If your insurance company agrees to pay a fixed fee for you to receive a given treatment (for example,$5,000 for an appendectomy),the company is using which of the following?
A)A fee-for-service system
B)A managed care system
C)A co-insurance system
D)A prospective payment system
E)A social insurance system

Question

Quizplus · Accepted Answer

A prospective payment system is a healthcare payment method where healthcare providers are paid a fixed amount based on the expected cost of treatment for a specific medical condition. In this case, the insurance company agrees to pay a fixed fee for the appendectomy procedure, which is an example of a prospective payment system.

If Your Insurance Company Agrees to Pay a Fixed Fee