What was the main purpose of the Health Maintenance Organization Act of 1973?
Place caps on the rise of health insurance premiums
Transfer the control of HMOs from the federal government to private companies
Rein in the growing power of managed care
Provide an alternative to fee-for-service
The Correct Answer is D
Rationale:
A. Place caps on the rise of health insurance premiums: This option does not align with the main purpose of the Health Maintenance Organization (HMO) Act of 1973, which aimed to promote
the development of HMOs as an alternative to traditional fee-for-service models rather than directly addressing insurance premiums.
B. Transfer the control of HMOs from the federal government to private companies: The HMO Act of 1973 aimed to encourage the establishment of HMOs by providing federal grants and
loans, but it did not involve transferring control from the government to private companies.
C. Rein in the growing power of managed care: The HMO Act of 1973 actually facilitated the growth of managed care by providing federal support for the establishment of HMOs, rather than attempting to rein in their power.
D. Provide an alternative to fee-for-service: The primary purpose of the HMO Act of 1973 was to promote and facilitate the development of Health Maintenance Organizations (HMOs) as an
alternative healthcare delivery model to traditional fee-for-service arrangements. HMOs were intended to emphasize preventive care, cost containment, and coordination of services.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. For integration to create negotiating power: This option describes a strategic reason for healthcare integration but does not directly relate to the need for long-term care (LTC).
B. For continuity of care after hospitalization: Long-term care (LTC) is often needed when
individuals require ongoing support with activities of daily living or medical care after being discharged from a hospital, rehabilitation facility, or other acute care setting.
C. For physicians maintain their independence and autonomy: This option describes a potential motive for physicians but does not directly relate to the need for long-term care.
D. For joint owners to diversify into new services: This option describes a business strategy but does not directly relate to the need for long-term care.
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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