CSPR - CERTIFIED SPECIALIST PAYMENT REP (HFMA) 2024 LATEST EXAM WITH 100 QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) CSPR CERTIFICATION EXAM ANSWERED (BRAND NEW!!)
CSPR - CERTIFIED SPECIALIST PAYMENT REP (HFMA) 2024 LATEST EXAM WITH 100 QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) CSPR CERTIFICATION EXAM ANSWERED (BRAND NEW!!)
Which of the following statements regarding employer-based health insurance in
the United States is true? - ANSWER-The real advent of employer-based insurance
came through Blue Cross, which was started by hospital associations during the
Depression.
The Health Maintenance Organization (HMO) Act of 1973 gave qualified HMOs
the right to "mandate" an employer under certain conditions, meaning employers: -
ANSWER-Would have to offer HMO plans along side traditional fee-for-service
medical plans.
Identify the various types of government‐sponsored health coverage: - ANSWERMedicare - Government; Beneficiaries enrolled in such plans, but, participation in
these
plans is voluntary.
Medicaid
Medicaid Managed Care - Medicaid beneficiaries are required to select and enroll
in a managed care plan.
Medicare Managed Care (a.k.a. Medicare Advantage Plans)
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