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Exam 3 review qs Flashcards

1
Q

What percentage of total personal health care expenditures is financed by employment-based private insurance?

A. 3-4%
B. 15-16%
C. 27%
D. 33%
E. 44%
F. 55%
A

D. 33%

Actual value is 34% but 33% is close.

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2
Q 
What percentage of total personal health care expenditures is financed by out-of-pocket payments?
A. 3-4%
B. 15-16%
C. 27%
D. 33%
E. 44%
F. 55%
A

B. 15-16%. Actual value is 12%, but 15-16% is closer to 12% than 3-4%

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3
Q 
What percentage of total personal health care expenditures is financed by government financing?
A. 3-4%
B. 15-16%
C. 27%
D. 33%
E. 44%
F. 55%
A

E. 44%. Actual value is 46%, but 44% is close.

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4
Q

What percentage of total personal health care expenditures is financed by private individual insurance?

A. 3-4%
B. 15-16%
C. 27%
D. 33%
E. 44%
F. 55%
A

A. 3-4%. Actual value is 3%

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5
Q

What percentage of total personal health care expenditures is financed by other funds?

A. 3-4%
B. 15-16%
C. 27%
D. 33%
E. 44%
F. 55%
A

A. 3-4%. Actual value is 7%, but 3-4% is closer to 7% than 15-16%.

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6
Q

The health care expenses of what percentage of the population are covered by employment-based private insurance?

A. 3-4%
B. 15-16%
C. 27%
D. 33%
E. 44%
F. 55%
A

F. 55%. Actual value is 55%.

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7
Q

The health care expenses of what percentage of the population are covered by individual private insurance?

A. 3-4%
B. 15-16%
C. 27%
D. 33%
E. 44%
F. 55%
A

A. 3-4%. Actual value is 3%.

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8
Q

The health care expenses of what percentage of the population are covered by government financing?

A. 3-4%
B. 15-16%
C. 27%
D. 33%
E. 44%
F. 55%
A

C. 27%. Actual value 27%.

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9
Q

The FICA deduction from your paycheck (if you are employed) totals 7.65% of wages. What portion of this total is for Medicare?

A.	1.45%
B.	2.9% 
C.	6.2% 
D.	the full 7.65%
A

A. 1.45%

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10
Q

If you’re self employed, how much you do pay toward social security?

A. 1.45%
B. 2.9%
C. 6.2%
D. the full 7.65%

A

B. 2.9%.

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11
Q

If you’re an employed worker, such as a bank teller, how much you do pay toward social security?

A. 1.45%
B. 2.9%
C. 6.2%
D. the full 7.65%

A

C. 6.2%.

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12
Q

The 2010 ACA increases the FICA deduction rate from 1.45% to ___ starting in 2013.

A.	1.45%
B.	2.9% 
C.	2.35% 
D.    6.2%
E.	the full 7.65%
A

C. 2.35%

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13
Q

Which of the following Medicare “Parts” are fully funded by the monies collected from people’s salaries and the employer’s matching payroll taxes i.e. there is no additional premium charged after retirement?

A.	Medicare Part A
B.	Medicare Part B
C.	Medicare Part C
D.	Medicare Part D
E.	Parts A and B
F.	Parts B, C and D
F.	all four parts
G.	none of the above, all are funded in part by general tax revenues
A

Medicare Part A.

Not B b/c Medicare Part B is paid in part by income tax and other federal taxes and in part by Part B monthly beneficiary premiums

Not C b/c Part C, Medicare advantage is funded by beneficiary premiums subsidized by Medicare

Not D b/c 82% of Part D is financed through tax revenues and 10% of Part D is financed from beneficiary premiums

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14
Q 
Which of the following Medicare "Parts" are funded by a combination of general tax revenues and premiums paid by recipients?  
A.	Medicare Part A
B.	Medicare Part B
C.	Medicare Part C
D.	Medicare Part D
E.	Parts A and B
F.	Parts B, C and D
F.	all four parts
G.	none of the above, all are funded in part by general tax revenues
A

F. Parts B, C and D.
Medicare Part B is paid in part by income tax and other federal taxes and in part by Part B monthly beneficiary premiums

Part C, Medicare advantage is funded by beneficiary premiums subsidized by Medicare

D b/c 82% of Part D is financed through tax revenues and 10% of Part D is financed from beneficiary premiums

Not A b/c Medicare Part A is fully funded by the monies collected from people’s salaries and the employer’s matching payroll taxes.

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15
Q

True/false: Self-employed people pay the same amount of Medicare tax as individuals employed by private companies.

A

False. They pay 2x as much (their share and the employer’s share) 2.9= 1.45x2 6.2x2 12.4 Also FICA is capped off at 106,800 (2009)

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16
Q

People who are totally and permanently disabled are able to enroll in Medicare

A. immediately after being certified as such by a physician
B. only after being on Social Security disability for 12 months
C. only after being on Social Security disability for 24 months (2yr)
D. only if suffering from renal failure or Lou Gehrig’s disease

A

C. only after being on Social Security disability for 24 months (2yr)

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17
Q

Medicare Part B differs from Part A in that

A. it requires a monthly premium (66.50)
B. it requires a coinsurance payment for allowable expenses 80/20
C. it covers physician’s services
D. A and B only
E. A, B and C

A

E. A, B and C
Part A is for hospitalization, Part B Physician services, Part D Prescription
True/false: Although many people (particularly Democrats) are upset by the Medicare Modernization Act prohibition against Medicare negotiating with pharmaceutical companies for price reductions secondary to bulk purchasing, this is actually a normal practice - in fact, the Veteran’s Administration is also prohibited from engaging in such negotiations.

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18
Q

State matching funds are required to finance

A.	Medicaid
B.	SCHIP 
C.	COBRA
D.	A and B only
E.	A, B and C
A

E. A, B and C
A. Medicaid is jointly administered by federal and state governments. Eligibility criteria: Young children, pregnant women, the elderly, or disabled. Men and the childless are not eligible for Medicaid.The ACA expanded medicaid and in 2014 the eligibility criteria categories will be eliminated and Medicaid will be available to all citizens and legal residents with family income below 133% of the federal poverty line.
B. SCHIP is a companion program to Medicaid that covers children in families with incomes at or below 200% of the federal poverty level, but above the medicaid income eligibility level. SCHIP is jointly administered by federal and state governments. States legislating a SCHIP program receive generous federal matching funds and can administer SCHIP through medicaid or by creating a separate program.
C. COBRA is the Consolidated Omnibus Budget Reconciliation Act of 1985. COBRA provides continued heath insurance coverage under their group plan for 18mos to eligible people who leave their jobs. COBRA requires that people pay the full cost of the premium.

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19
Q

Health care coverage under which of the following programs is tied to federal poverty income levels?

A.	Medicaid
B.	SCHIP 
C.	COBRA
D.	A and B only
E.	A, B and C
A

D. A and B only
A. Medicaid is jointly administered by federal and state governments. Eligibility criteria: Young children, pregnant women, the elderly, or disabled. Men and the childless are not eligible for Medicaid.The ACA expanded medicaid and in 2014 the eligibility criteria categories will be eliminated and Medicaid will be available to all citizens and legal residents with family income below 133% of the federal poverty line.
B. SCHIP is a companion program to Medicaid that covers children in families with incomes at or below 200% of the federal poverty level, but above the medicaid income eligibility level. SCHIP is jointly administered by federal and state governments. States legislating a SCHIP program receive generous federal matching funds and can administer SCHIP through medicaid or by creating a separate program.

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20
Q

True/false: Federal regulations prohibit the organization of Medicaid managed care plans.

A

False. Federal regulations do not prohibit the organization of Medicaid managed care plans.

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21
Q

The single most important cause of lack of health care insurance is

A. lack of a job
B. high cost
C. age
D. personal decision not to purchase care

A

B. high cost

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22
Q

Individuals without health insurance are most apt to be

A.	under 18 years of age
B.	18-24 years old             
C.	25-34 years old
D.	35-44 years old
E.	45-64 years old
F.	65 years old or over
A

18-24 years old . Because they are typically healthy

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23
Q

The segment of the population most apt to have health care coverage is

A.	under 18 years of age
B.	18-24 years old
C.	25-34 years old
D.	35-44 years old
E.	45-64 years old
F.	65 years old or over
A

F. 65 years old or over. Because typically the most apt to be sick, and are covered by Medicare Part A.

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24
Q

8% of individuals with incomes greater than $75,000 per year are uninsured. The most likely explanation for this observation is that

A. these individuals probably feel that they can afford to pay for needed care
B. these individuals are probably young, unmarried and tend to feel invincible
C. these individuals probably have health problems causing them to be “un-insurable”

A

C. these individuals probably have health problems causing them to be “un-insurable”

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25
Q

What percentage of those who are employed full time are uninsured?

A. 17%
B. 24-26%
C. 50%

A

A. 17%. Actual value 17%.

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26
Q

What percentage of those who are employed part time are uninsured?

A. 17%
B. 24-26%
C. 50%

A

B. 24-26%. Actual value 30%. 24-26% is closer to 30% than 50%.

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27
Q

What percentage of the uninsured work full-time?

A.	17%
B.	22.5%
C.	60.5%
A

A. 17%. Actual value is 15%, but 17% is close.

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28
Q

What percentage of the uninsured are African American?

A. 12%
B. 17%
C. 21%
D. 32%

A

C. 21%

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29
Q 
What percentage of the uninsured are Asian?
A. 12%
B. 17%
C. 21%
D. 32%
A

B. 17%

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30
Q

What percentage of the uninsured are Hispanic?

A. 12%
B. 17%
C. 21%
D. 32%

A

D. 32%

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31
Q

What percentage of the uninsured are Non-Hispanic whites?

A. 12%
B. 17%
C. 21%
D. 32%

A

A. 12%

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32
Q

The risk apportioned to individual physicians contracting with an IPA in a three-tiered capitation system is greatest when the arrangement is

A. cap-cap (capitation fees paid by insurer to IPA and by IPA to physicians)
B. cap-fee (capitation fees paid by insurer to IPA; fee-for-services payments to physicians)
C. it doesn’t make any difference whether it is cap-cap or cap-fee because total risk goes to the IPA in both arrangements
D. it doesn’t make any difference whether it is cap-cap or cap-fee because total risk goes to the physician in both arrangements

A

A. cap-cap (capitation fees paid by insurer to IPA and by IPA to physicians).

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33
Q

Which of the following is used to reduce the risk to the IPA in a cap-fee three-tiered capitation system,

A. fee withholds
B. capitation bonuses
C. carve-outs
D. stop-loss coverage

A

A. fee withholds

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34
Q

Salaried physicians are characteristic of all of the following EXCEPT

A.	group model HMOs
B.	staff model HMOs
C.	preferred provider organizations
D.	multi-specialty practices
E.	prepaid group practices
F.	integrated medical groups
A

C. preferred provider organizations

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35
Q

National healthcare expenditures in the US on a per capita basis (per person per year) are projected to be approximately how much in 2006?

A. less than $2500
B. roughly $5000
C. nearly $7500
D. over $10,000

A

C. nearly $7500

36
Q

The total insurance premium (employee and employer share) for a family of four insured via employment-based insurance is estimated to be approximately how much in 2006?

A. less than $2500
B. roughly $5000
C. nearly $7500
D. over $10,000

A

D. over $10,000

37
Q

The employee share of the total cost of employment-based health insurance is typically approximately

A. 25% of total
B. 5o% of total
C. 75% of total

A

A. 25% of total

38
Q

Over time, 1947 - 1987, health care costs increased by 2.5% per year faster than the overall economy. What proportion of this cost was due to increased utilization of health care services?

A.	1/10
B.	1/3
C.	1/2
D.	2/3
E.	3/4
A

B. 1/3

39
Q

Switching to a defined contribution health care plan would be considered to be an attempt at

A. financing control
B. reimbursement control
C. cost shifting- can be avoided if all use same schedule, also if competive market
D. utilization control-

A

A. financing control

40
Q

Studies suggest that the single most important strategy for improving overall health and prevention of disease in the US and elsewhere would involve

A. public health interventions such as improved water purification systems, increased tobacco taxes, and mass education on the dangers of high-fat diets
B. increased preventive medical care such as screening and treatment of hypertension, provision of mammograms and prenatal care
C. improvement in the standard of living via job creation and an increase in the minimum wage
D. creation of a single payer health care system

A

C. improvement in the standard of living via job creation and an increase in the minimum wage

41
Q

The tremendous decrease in infectious disease witnessed in the United States over the past 150 years has been due primarily to

A. increases in the use of antibiotics
B. introduction of vaccinations
C. public health measures such as water purification, sewage disposal, pasteurization of milk, etc. ( Also stated most babies are vaccinated during early yrs) Stated in class

A

C. public health measures such as water purification, sewage disposal, pasteurization of milk, etc. ( Also stated most babies are vaccinated during early yrs) Stated in class

42
Q

True/false: Primary rather than secondary prevention activities currently tend to be the most effective methods of reducing the total health burden for essentially all noninfectious chronic diseases.

A

Fasle. Secondary prevention activities currently tend to be the most effective methods of reducing the total health burden for essentially all noninfectious chronic diseases.
Primary prevention seeks to avert the occurrence of a disease or injury, ex. immunizations and public health measures such as water purification
Secondary prevention refers to early detection of a disease process and intervention to reverse or retard the condition from progressing.
Tertiary- describes efforts to minimize effect of disease.( physical therapy for arthritis)

43
Q

What are 3 prevention strategies?

A
  1. measures to address the fundamental social determinants of illness.
    a. Improvement of standard of living———–Job creation, increase minimum wage
  2. Public health interventions to reduce incidence of illness in population-
    a. water purification in underdevelopment countries, increase tobacco tax, education methods
  3. Preventive medical care health care providers-
    Screening for hypertension, breast exams, prenatal care
44
Q

True/false: Increasing the tax on alcoholic beverages has been shown to have little effect on alcohol consumption.

A

False. Government has done mass education campaign to reduce the disease to discourage the activity
Tax, restriction in public places, and public education is done by government to reduce smoking.

45
Q

The most effective use of statin in prevention in fatal or nonfatal coronary event
A. Primary prevention(w/o CHD)
B. Secondary prevention(w/ CHD)
The effectiveness is far greater if used in patients in secondary rather than primary although both reduce.

Reducing mean population of cholesterol rather than individual may have better long term care results for primary prevention.

A

B. Secondary prevention(w/ CHD)
The effectiveness is far greater if used in patients in secondary rather than primary although both reduce.
Reducing mean population of cholesterol rather than individual may have better long term care results for primary prev

46
Q

Although medical and pharmaceutical effort to disease tend to focus on individual at high risk, a public health emphasis is more apt to be on those of moderate risk.
A. True
B. False

A

A. True
Ex. AIDS the cost of drugs would be too much so primary prevention would be better for prevention. Also can’t prevent risky behavior. It is better targeted to educate people about the risk and it has show decrease levels in improvement.

47
Q

What are the components of high quality care?

A

Access to care
Adequate scientific knowledge
Competent physicians
Separation of financial and clinical decision
Organization of health care institutions to maximize quality

48
Q

What is Tort?

A

A civil legal wrong (or violation of a duty imposed by general law) committed upon a person or property independent of contract for which the court will provide a remedy in the form of an action for damages
A tort is not a contract. It is what you do to that person or a property. Typically the remedy for civil law is monetary

49
Q

What is an intentional tort?

A

Wrong perpetrated by one who intends to do that which the law has declared wrong as contrasted with negligence in which the tortfeasor fails to not act but lacks intent.
Intent means to intend to bring about the harmful or offensive touching.
Act is an act creating a reasonable apprehension of immediate (not furture) harmful or offensive contact

50
Q

What is battery?

A

intentional tort to person

Assault is an intentional tort also

51
Q

What does Tort reform do?

A

It places limits on malpractice awards to patient and slow down the premium on physicians

52
Q

What are examples of Tort reform?

A

Alternative dispute resolution- substitution mediation and arbitration of jury trials in settlements to reduce the legal cost and improvement compensation of one.
Use of practical guides- Improving the ability to determine when a physician is negligent
No fault reform- Providing compensation to patients suffering medical injury regardless of whether the injury was due to negligence. Would cost same as tort system and compensate more people. Might incline physician to to identify and and openly discuss medical errors.
Enterprise Liability- (Primary hospital and HMO’S) Making institutions responsible for compensating medical injuries on a no fault basis, thereby creating incentives for institutions to improve the quality of care. Close to no fault reform

53
Q

What are defenses to intentional torts?

A

Consent
Express consent – willingness to submit
Implied consent
Apparent – reasonable person would infer (sports)
Consent implied by law – action necessary to save life or some other important interest of person
Patient in ER but unconscious and no one to consent
*Note: this is not informed consent, when informed consent is the issue, the doctrinal foundation for liability is no longer battery but negligence
Good Samaritan Laws – civil immunity
Vary state by state – know your state’s rule
Majority rule: no duty to come to aid of an injured individual where no pre-existing duty exists (car accident)
Respond to emergency situation
Civil liability immunity for health care providers and other rescuers
Expect and pursue no compensation for victim
Act in good faith and do not act with gross negligence or in a manner that would intentionally harm person
Relinquish care of person to qualified care provider
May constitute ride to ER

54
Q

What is beneficence?

A

It is the obligation of health care provider to help people in need.

55
Q

What is autonomy?

A

is the right of a person to choose and follow his or her own plan of life and action. They have to right to make own choices

56
Q

What is justice?

A

The concept of treating everyone in a fair manner.

57
Q

What is nonmalefecience?

A

The duty of a health care provider to do no harm.

58
Q

Which of these are GlobalBudget Hospitals?

a. VA and military
b. Some local municipal
c. Kaiser health
d. A and b
e. All of the above

A

e. All of the above

59
Q

Which statement is true of Medigap plans?

A . all cover deductible co pay and coinsurance not coverd by medicare
B.require premium of a premium
C. another name for part C
D. both A and B

A

D. both A and B

60
Q

Lack of understanding cause and risk for a particular disease limits preventions to?

A. Primary prevention techniques
B. Secondary prevention techniques
C. Tertiary prevention techniques

A

B. Secondary prevention techniques.

61
Q

Public health measures which have legally-binding status in the United States include all of the following EXCEPT

A. confinement of people with active tuberculosis if they constitute a danger to the health of others
B. required premarital testing for syphilis
C. required vaccinations for childhood illnesses before attending public schools
D. invountary hospitalization of people with mental illness which could result in violence
E. no exceptions, as all of the above are legal in the United States

A

E. no exceptions, as all of the above are legal in the United States

62
Q

The term “Health Maintenance Organization” was coined in the 1970s

A. to bypass the political legacy associated with prepaid group practices which were criticized by organized medicine as examples of “socialized medicine”
B. to suggest the projected emphasis of such systems on preventive care
C. as part of the health care reform efforts of the (Republican) Nixon administration
D. all of the above

A

D. all of the above

63
Q

The inherent conflict between the professional responsibility of physicians to act in the best interest of their patients and their desire to earn a decent living as has resulted in organized medicine’s historical objection to

A.	contract doctors
B.	multispeciality group practices
C.	community health centers
D.	prepaid group practices
E.	health maintenance organizations
F.	all of the above
A

F. all of the above

64
Q

True/false: Efforts to encourage patients to reduce the frivolous use of medical services through the imposition of high deductibles and/or co-payments have generally resulted in a reduction in both unnecessary and necessary medical care, particularly among lower income individuals.

A

True

65
Q

Emphasis on primary care by generalist physicians and nurse practitioners has been shown to result in all of the following EXCEPT

A.	increased use of preventive services
B.	less resource-intensive medical practice
C.	reduced hospitalizations
D.	better pregnancy outcomes due to increased cesarean sections
E.	better control of hypertension
F.	increased patient satisfaction
A

D. better pregnancy outcomes due to increased cesarean sections

66
Q

The emphasis on tertiary care in the US health care system is thought by health economists to be driven by all of the following EXCEPT

A. the biomedical model of medical education with its emphasis on basic sciences
B. the push to incorporate psychosocial, family, cultural and environmental analysis in treatment plans
C. the differential payments to generalist and specialty physicians common to traditional fee-for-services reimbursement plans
D. federal support of hospital construction via the Hill-Burton Hospital Construction Act
E. Medicare payments to hospitals to cover costs associated with training residents
F. the high value placed by Americans on the “autonomy” to choose their own physicians

A

B. the push to incorporate psychosocial, family, cultural and environmental analysis in treatment plans

67
Q

The total supply of “generalist” physicians (including general internists and general pediatricians) in the United States is estimated at _____________ of all practicing physicians.

A.	less than 25%
B.	about one third
C.	roughly half
D.	over 60%
A

B. about one third

68
Q

For the past several years, expenditures for health care in the United States have averaged approximately _____ % of the Gross Domestic Product?

A.	 20%
D.	> 40%
A

B. 15%. Actual value is 16 % (2009), 7,026 per person/yr

69
Q

Expenditures for health care in Switzerland have averaged approximately____%

A

10.9%

70
Q

Expenditures for health care in Germany have averaged approximately____%

A

10.7%

71
Q

Expenditures for health care in France have averaged approximately____%

A

9.5%

72
Q

A patient can use a caregiver who is not in the HMOs provider panel by paying a large share of the payment out of pocket if the patient’s health insurance carrier has contracted with a(an)

A.	traditional HMO
B.	IPA / HMO contract arrangement
C.	integrated medical group / HMO contract arrangement
D.	HMO with POS (point of service) privileges
E.	PPO (preferred provider organization)
F.	multi-specialty group practice
A

D. HMO with POS (point of service) privileges

73
Q

Mechanisms of “painless” cost control include all of the following EXCEPT
( 26 % of births were C section No improvement in maternal health)
A. cutting the price of pharmaceuticals
B. reducing administrative waste
C. substituting less costly but equally effective technologies
D. cost containment procedures leading to reduced availability of certain services
E. increasing preventive services costing less than the illness they prevent
( A to C from the graph )

A

D. cost containment procedures leading to reduced availability of certain services

Note: Painless and painful are determined from pt. perspective.

74
Q

What is cost equation?

A

Cost=price * quantity
If i decrease price to control cost that is painless cost control
If I increase quantity that is painless
If I decrease quantity that’s painful cost control
If I increase price that’s painful

75
Q

What are painless cost control strategies?

A

➢ Controling Cost inflation
➢ Eliminating ineffective and inappropriate care
➢ Reducing Adminstrative Waste
➢ Substituting less costly technologies and drugs that are equally effective
➢ Increasing the provision of preventive services that cost less than the illness they prevent( Some can be expensive so sometimes might be easier to let them die)

76
Q

Patient Provider Organizations would be expected to use all of the following cost control strategies EXCEPT

A.	price controls- lead to patient churning, cost shifting
B.	utilization management- Done to influence physician behavior through denial of payment. 
C.	gatekeepers
D.	patient cost sharing- co pay( goal to reduce patient demand) Also include 
	Coinsurance, deductible
A

C. gatekeepers

77
Q

What are the major components of cost control?

A
  1. Financing either from patient/ employer to insurer or government( taxes go up)
  2. Reimbursement
78
Q

What is defined contribution?

A

An employer give 500 dollars to employee to choose plan because cost got expensive for employer. So now employee has the choice to shop for insurance plan.

79
Q

Independent practice association (IPA)-network HMOs would be expected to use all of the following cost control strategies EXCEPT

	A.	capitation
	B.	utilization management
	C.	gatekeeping
	D.	salaries and global budgets
	E.	regulating supply via selective contracting
A

D. salaries and global budgets

80
Q

Based on the Dawson model for organization of health care systems and later expansions, the conditions listed below (questions **) would be considered

		A.	primary care
		B.	secondary care
		C.	tertiary care

_____ surgery to correct a congenital malformation of the heart in a 10 day old infant

A

C. tertiary care

81
Q

Based on the Dawson model for organization of health care systems and later expansions, the conditions listed below (questions **) would be considered

		A.	primary care
		B.	secondary care
		C.	tertiary care

_____ hospitalization for removal of the gall bladder to treatment of acute renal failure

A

B. secondary care

82
Q

Based on the Dawson model for organization of health care systems and later expansions, the conditions listed below (questions **) would be considered

		A.	primary care
		B.	secondary care
		C.	tertiary care

_____ referral of a toddler to an academic medical center for treatment of a rare “orphan” metabolic disorder

A

C. tertiary care

83
Q

Based on the Dawson model for organization of health care systems and later expansions, the conditions listed below (questions **) would be considered

		A.	primary care
		B.	secondary care
		C.	tertiary care

_____ treatment for hypertension at an ambulatory care center

A

A. primary care

84
Q

Matching:

	A.	Vertically integrated (first generation) HMO
B.	Virtually integrated (second generation) IPA (independent practice  association) contracted with one or more HMOs
	C.	Virtually integrated (second generation) integrated medical group  contracted with one or more HMOs
	D.	A and C
	E.	B and C
	F.	A, B and C

_____ individual physicians continue to own their practices and office assets B

_____ physicians are salaried D

_____ individual physicians may see, treat and bill patients outside of the HMOs with whom they are contracted B

_____ Kaiser-Permanente Medical Plan Program A

A

B. Virtually integrated (second generation) IPA (independent practice

85
Q

Matching:

	A.	Vertically integrated (first generation) HMO
B.	Virtually integrated (second generation) IPA (independent practice  association) contracted with one or more HMOs
	C.	Virtually integrated (second generation) integrated medical group  contracted with one or more HMOs
	D.	A and C
	E.	B and C
	F.	A, B and C

_____ individual physicians continue to own their practices and office assets B

_____ physicians are salaried D

_____ individual physicians may see, treat and bill patients outside of the HMOs with whom they are contracted B

_____ Kaiser-Permanente Medical Plan Program A

A

D. A and C

PPM (1 decks)

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