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Health care inquiry

Who has final responsibility for all aspects of an HMO?
Chief Executive Officer (CEO)
Chief Compliance Officer (CCO)
Chief Operating Officer (COO)
Board of Directors

  1. (TCO A) Risk pools are usually categorized by which of the following?
    The age and sex of the enrolled members
    Pool of doctors (PODs)
    Types of medical services
    None of the above
    All of the above
  2. (TCO B) Which of the following forms of hospital reimbursement contain no elements of risk sharing by the hospital?
    Capitation
    DRGs
    Per diem
    Sliding-scale FFS
    Per diem and sliding-scale FFS
  3. (TCO B) Common areas of clinical focus subject to hospital P4P programs include __.
    community-acquired pneumonia
    congestive heart failure
    acute myocardial infarction
    prevention
    community-acquired pneumonia, congestive heart failure, and acute myocardial infarction only
    © BrainMass Inc. brainmass.com March 21, 2019, 9:14 pm ad1c9bdddf
    https://brainmass.com/health-sciences/health-care-ethics/health-care-inquiry-367602
    Solution Preview

A Chief Compliance Officer has final responsibility of all aspects of an HMO.
Risk pools are usually …

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