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 A
Explanation
Rationale:
A. Total number of inpatient days incurred by a population over a given period of time: "Days of care" refers to the total number of days that all inpatients collectively spend in hospitals over a specified period, such as a month or a year. It is a measure of the volume of inpatient services provided.
B. The number of days a patient stays in a hospital: While this answer describes the duration of an individual patient's hospital stay, it does not encompass the concept of "days of care," which refers to the aggregate total of inpatient days across all patients.
C. The total number of patients admitted: This answer refers to the number of patients admitted to a hospital but does not capture the concept of "days of care," which measures the duration of inpatient stays.
D. The length of time patients are treated in a clinic: This answer describes the duration of
treatment in a clinic setting, which is different from the concept of "days of care" in the context of inpatient hospital services.
Correct Answer is B
Explanation
Rationale:
A. Waste management, cost containment, and insurance companies: While these factors are important components of healthcare delivery, they do not encompass the three major cornerstones.
B. Cost, access, and quality: Cost, access, and quality are widely recognized as the three major cornerstones of healthcare delivery. Cost refers to the affordability and sustainability of
healthcare services, access pertains to the availability and timeliness of care, and quality involves the effectiveness, safety, and patient-centeredness of care.
C. Doctors, nurses, and waste management: While healthcare professionals and waste
management are integral to healthcare delivery, they are not the three major cornerstones.
D. Insurance companies, doctors, and nurses: While insurance companies and healthcare professionals are important stakeholders in healthcare delivery, they are not the three major cornerstones.
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