Which of the following best describes what physicians did to ...

[Medesa]

Which of the following best describes what physicians did to compete with new competition from health maintenance organizations (HMOs)?
 
  a. Accepted employment directly under the insurance company
  b. Organized preferred provider organizations (PPOs) to negotiate with insurance companies
  c. Created private practices with colleagues within hospital medical complexes
  d. Decided to strike and refused to work in the new HMOs

Question 2

It has been proposed that a new, better approach to health care be tested with a small group to evaluate its effectiveness. Which of the following best describes why this cannot be done?
 
  a. Any employment in the project would be only temporary, so it would be difficult to find professionals to staff the program.
  b. It is challenging to find appropriate sites located in the target area from which to offer the pilot project service.
  c. No one wants to accept free services if they include being a guinea pig in a research project.
  d. Offering a service establishes a precedent and a sense of entitlement, so it is difficult to discontinue the program.

[Zack0mack0101@yahoo.com]

Answer to Question 1

ANS: B
In an effort to compete with HMOs, physicians and hospitals organized the independent practice model, which provided services to enrollees of one insurance company. This model evolved into the PPO, which offered services at a reduced rate in exchange for a guaranteed increase in consumers. Physicians did not become directly employed by insurance companies, set up private practices with colleagues, or decide to strike in order to compete with the HMOs.

Answer to Question 2

ANS: D
Once a direct health care service is offered, it is difficult to discontinue it. Existing programs create tradition by establishing vested interest and a sense of entitlement.

[Medesa]

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[Liamb2179]

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