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. Well-to-do, private-pay patients started using hospitals: This development is more characteristic of stage 1 of the evolution of hospitals, where hospitals primarily served the wealthy and were often charitable institutions.
B. Advanced sanitation, nursing, and medical services: Stage 2 of the evolution of hospitals saw significant improvements in sanitation practices, the professionalization of nursing, and advancements in medical services, contributing to the transformation of hospitals into more
modern healthcare institutions.
C. Transition from primarily government institutions to community institutions: While the role of hospitals expanded to serve broader community needs during this stage, it was not the defining characteristic of stage 2.
D. Medical discoveries transformed hospitals into institutions of medical: While medical discoveries certainly influenced the evolution of hospitals, they were not unique to stage 2 and were ongoing throughout the development of healthcare institutions.
Correct Answer is C
Explanation
Rationale:
A. Promotes the use of performance measurements in health care: This answer describes the purpose of quality indicators in general but does not specifically address the macro perspective.
B. Focus on individual services at the point of delivery: This describes the micro perspective, which focuses on specific aspects of care delivery.
C. Reflect the performance of the entire health care delivery system: The macro perspective of quality indicators looks at the overall performance of the entire healthcare system, including factors such as access, effectiveness, and efficiency.
D. Look at the performance of an individual or organization: While this may be a component of quality measurement, it does not encompass the broader view of the macro perspective.
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