This topic contains a solution. Click here to go to the answer

Author Question: How does risk adjustment affect payments to managed care plans? a. Risk adjustment shifts risk ... (Read 57 times)

maychende

  • Hero Member
  • *****
  • Posts: 556
How does risk adjustment affect payments to managed care plans?
 
  a. Risk adjustment shifts risk from the payer to the MCO
  b. Risk adjustment takes into account the enrollees' health status
  c. Risk adjustment provides an incentive for improving quality
  d. Risk adjustment reduces out-of-pocket costs for the enrollees

Question 2

What payment method is used in Primary Care Case Management to reimburse physicians?
 
  a. Capitation
  b. Discounted fees
  c. Fee for service
  d. Salaries



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Madisongo23

  • Sr. Member
  • ****
  • Posts: 325
Answer to Question 1

B

Answer to Question 2

C




maychende

  • Member
  • Posts: 556
Reply 2 on: Jul 17, 2018
Thanks for the timely response, appreciate it


Dinolord

  • Member
  • Posts: 313
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

The U.S. Pharmacopeia Medication Errors Reporting Program states that approximately 50% of all medication errors involve insulin.

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

For a complete list of videos, visit our video library