Health care Economics



Health care Economics

1) Health insurance provider (health service organization (HMO) fee for service,, Preferred Provider Organization(PPO) types in order of increasing management are:

FFS,PPO,HMO

PPO,HMO,FFS

PPO,FFS,HMO

FFS,HMO,PPO

2)Which reimbursement mechanism encourages over servicing by hospitals?

Prospective payment

Retrospective cost based payment

Neither a nor b

Both a and b

3) A limitation of reimbursement by diagnosis related group is that it encourages over servicing

True

False



4) All of the following are federal initiatives that have been implemented as initiatives towards aligning payment with quality incentives except

Insurance companies incentives

Hospital quality initiative

CMS centers of excellence

CMS pay for performance

5) Which reimbursement mechanism discourages over servicing by physicians?

resource based value scales

capitation

both a ...