50.1K

Verified Solution

Link Copied!

1. VBPMs want to shift financial risk to providers while "thick insurance" plans want to shift risk to the patients.

True or false

2. Insurance is risk protection provided by paying an insurance company to share the risk of losses with you and others who pay into the insurance plan

True or false

3. Although hospitals and physician groups are highly concentrated, insurance markets are not concentrated.

True or false

4. Hospital acquisition of physician practices, or vertical mergers, and development of multihospital health care systems crossing many local health care markets, or cross-market mergers, proceed unchallenged, despite evidence that both are associated with substantial price increases, without evidence of quality improvement or greater efficiency even though the federal government has the authority through antitrust regulations.

True or false

5. The rationale to shift from FFS to APMs is that providers and organizations are in the best position to identify ways to reduce waste and overuse, coordinate care across settings, steer patients to the most appropriate, high-quality providers, and provide needed care.

True or false

6. CMS pays MA plans on a capitated basis rather than for each service performed, which creates a direct financial incentive for MA plans to keep their enrollees healthy and reduce health care costs

True or false

Answer & Explanation Solved by verified expert

See Answer