Which of the following groups of people pay for the benefits of Medicare?
Health insurance companies
Only doctors and nurses
Hospital employees
Taxpayers
The Correct Answer is D
A. Health insurance companies: While health insurance companies may play a role in administering Medicare plans, they do not directly pay for the benefits of Medicare. Medicare is primarily funded through taxpayer contributions.
B. Only doctors and nurses: Healthcare providers, including doctors and nurses, do not directly pay for the benefits of Medicare. They may receive reimbursements for services rendered to Medicare beneficiaries, but they are not the ones funding the program.
C. Hospital employees: Hospital employees do not directly pay for the benefits of Medicare.
Like other taxpayers, they may contribute to Medicare funding through taxes deducted from their salaries.
D. Taxpayers: The benefits of Medicare, a federal health insurance program primarily for people age 65 and older, are funded by taxpayers through various revenue sources, including payroll
taxes, income taxes, and premiums paid by beneficiaries.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Acute conditions: Acute care focuses on the diagnosis and treatment of sudden and severe medical conditions that require immediate attention, such as heart attacks, strokes, or traumatic injuries.
B. Post-acute care: Post-acute care refers to services provided after an acute care hospital stay, such as rehabilitation or skilled nursing care, to help patients recover and regain independence.
C. Chronic conditions: Chronic care management involves the ongoing treatment and management of long-term health conditions, such as diabetes, hypertension, or arthritis.
D. Nursing home services: Nursing home services are a type of long-term care provided in residential facilities for individuals who require assistance with activities of daily living and
medical care on a long-term basis. These services are primarily associated with individuals who are unable to live independently due to age-related frailty, disability, or chronic illness.
Correct Answer is D
Explanation
Rationale:
A. Preferred Provider Organization (PPO) plan: PPO plans typically offer members greater flexibility in choosing healthcare providers and may not have as strict requirements for referrals to specialists, reducing barriers to access.
B. Medicare advantage plans: Medicare Advantage plans, also known as Medicare Part C, offer additional benefits beyond traditional Medicare, but they may not exhibit the same issues with access to primary and specialty care as other managed care plans.
C. Medicaid managed care: Medicaid managed care plans vary by state and may have different structures for accessing care, but they often emphasize primary care coordination and may not exhibit the same issues with access as HMO plans.
D. Health Maintenance Organization (HMO) plans: HMO plans typically require members to select a primary care physician (PCP) and obtain referrals from the PCP to see specialists. This structure can create barriers to accessing specialty care, particularly if there are limitations in provider networks or delays in obtaining referrals.
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