_____ reimbursement is based on the assumption that health care is provided in a set of identifiable and individually distinct units of services.
To receive payment for services delivered, providers must file a ____ with third-party payers.
To finance Medicare Part A,
The phenomenon called ‘moral hazard’ results directly from
A set monthly fee per enrollee.
Medicare Part B premiums are
People in older age groups represent a higher risk than those in lower age groups.
A copayment is generally paid
What is the central role of health services financing in the United States?
What is the main advantage of group insurance?
The amount of reimbursement is determined before the services are delivered.
Preferred providers are paid
What was the main conclusion of the Rand Health Insurance Experiment
Major medical plans do not include dental coverage.
Under the DRG method of reimbursement, an acute care hospital is paid
State governments are required to partially finance the Medicaid program.
The majority of beneficiaries receiving health care through Medicare are
Under the Medicaid program, eligibility criteria and benefits are consistent throughout the US.
Medicare provides comprehensive health care services.
If national health expenditures amount to 16% of the GDP, what does this mean?
Under the Medicare program, eligibility criteria and benefits are consistent throughout the US.
The primary criterion to become eligible for Medicaid is
The government plays a significant role in financing health care services in the United States.
A health insurance plan pays for medical care only after the insured has first paid $500 out of pocket on an annual basis. The $500 annual cost is called
What is the primary mechanism that enables people to obtain health care services?
Tax policy in the U.S. provides an incentive to obtain employer-paid health insurance.
A DRG represents
CHIP is available to children without any health insurance in families whose incomes are at or below ____ of the federal poverty level.
Public (government) share of the total health care spending in the United States is approximately
What is the primary reason that a segment of the U.S. population is uninsured?
Health insurance increases the demand for health care services.
In a general sense, what is the primary purpose of insurance?