How did managed care organizations (MCOs) garner enormous buying power?
By integration of several organizations under the same ownership or contractual arrangements
By shared savings program under the ACA
By providing an array of health care services to a large community
By enrolling a large segment of the insured population
The Correct Answer is A
A. By integration of several organizations under the same ownership or contractual
arrangements: MCOs garner enormous buying power by integrating various healthcare providers and services under one ownership or through contractual agreements, which allows them to negotiate better rates with suppliers and providers.
B. By shared savings program under the ACA: While the shared savings program under the ACA aims to reduce healthcare costs, it is not the primary method through which MCOs gained their buying power.
C. By providing an array of health care services to a large community: Providing a wide range of services enhances the value offered by MCOs but does not directly lead to significant buying power.
D. By enrolling a large segment of the insured population: Enrolling a large number of insured
individuals helps MCOs spread risk but is not the main factor that provides them with enormous buying power.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Health insurance: While health insurance has influenced healthcare delivery and financing, it is not credited with the significant expansion of hospital beds as compared to other options.
B. Hill-Burton Act: The Hill-Burton Act, passed in 1946, provided federal grants and loans for hospital construction and modernization, leading to a substantial increase in the number of hospital beds in the United States.
C. Technological advances: Technological advances have certainly influenced healthcare
delivery and the types of services provided in hospitals, but they may not have directly led to the expansion of hospital beds to the same extent as the Hill-Burton Act.
D. Medicare and Medicaid: While Medicare and Medicaid have had significant impacts on
healthcare financing and access, they may not have directly influenced the expansion of hospital beds as much as the Hill-Burton Act.
Correct Answer is A
Explanation
Rationale:
A. Right to make an informed choice regarding medical treatment, including the right to refuse
treatment: Informed consent refers to the ethical and legal principle that ensures patients have the right to make informed decisions about their medical care, including the risks, benefits, and
alternatives to treatment. It requires healthcare providers to provide patients with relevant information to enable them to make decisions consistent with their preferences and values.
B. Allows a hospital to participate in Medicare and Medicaid: This option describes a hospital's eligibility to participate in government healthcare programs and is not related to informed consent.
C. Value-based care that needs to go beyond the assessment of safety and effectiveness: This option describes the concept of value-based care, which emphasizes improving patient outcomes and experiences while controlling costs. It is not directly related to informed consent.
D. Differences of opinion on what constitutes extraordinary or heroic measures to sustain a person's life: This describes ethical considerations in end-of-life care and is not specifically related to the concept of informed consent.
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