16 Jun Question Health care inquiry
Question
Health care inquiry
Who has final responsibility for all aspects of an HMO?
Chief Executive Officer (CEO)
Chief Compliance Officer (CCO)
Chief Operating Officer (COO)
Board of Directors
3. (TCO A) Risk pools are usually categorized by which of the following?
The age and sex of the enrolled members
Pool of doctors (PODs)
Types of medical services
None of the above
All of the above
4. (TCO B) Which of the following forms of hospital reimbursement contain no elements of risk sharing by the hospital?
Capitation
DRGs
Per diem
Sliding-scale FFS
Per diem and sliding-scale FFS
5. (TCO B) Common areas of clinical focus subject to hospital P4P programs include __________.
community-acquired pneumonia
congestive heart failure
acute myocardial infarction
prevention
community-acquired pneumonia, congestive heart failure, and acute myocardial infarction only
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