20. What is an example of how hospital utilization is measured? 21. What is the
ID: 128881 • Letter: 2
Question
20. What is an example of how hospital utilization is measured? 21. What is the difference between a CAPITATED payment and a PROSPECTIVE payment for health care? Does a PPO or an HMO insurance plan offers more choice in picking your provider 23. In a traditional HMO, who serves as a gatekeeper? 24. True or False: Health insurance plans with no (0) coverage for out-of-network physicians tend to be more expensive them plans that offer out-of-network coverage. 25. What is a prior authorization AND give an example of why a patient needs one: 26. If a hospital integrates VERTICALLY, what does that mean? 27. If a hospital integrates HORIZONTALLY, what type of services will they provide? 28. True or False: 92% of LTC services are INSTITUTION-based 29. Pic k the age group: The average Age of a person living in a nursing home is in their 60s, 70s, 80s, or 90s? 30. Does Medicaid cover LTC costs, if so, under what circumstances? 31. Does MEDICARE cover LTC costs, if so, under what circumstances? 32. Write THREE characteristics that could make one a member of a vulnerable health care class: 33. How is having a third-party payer associated with increasing health care costs? 34. What does DEFENSIVE MEDICINE mean? 35. Does the medical model of health care delivery tend to emphasize PREVENTION or INTERVENTION? 36. Health Planning as a means of health care cost containment is an example of rationing. True or False? 37. G ive an example of a clinical practice guideline.Explanation / Answer
Ans 20 :
There are three basic factors by which hospital utilization can be measured. These are :
1. Volume of hospital utilization
2. Efficiency of utilization
3. Character of people utilizaing hospitalization
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