seventy-five percent of total costs of medicare part b are paid by federal general revenue and 25% is paid by premiums of those who elect to buy part b coverage. what is the medical loss ratio of this insurance plan? a) 150% b) 75% c) 500% d) 25%
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seventy-five percent of total costs of medicare part b are paid by federal general revenue and 25% is paid by premiums of those who elect to buy part b coverage. what is the medical loss ratio of this insurance plan?
a) 150%
b) 75%
c) 500%
d) 25%
Step by step
Solved in 4 steps
- 26) If an employee receives health insurance through his or her employer, the employer A) still withholds contributions for Medicare and Medicaid from the employee's paycheck. B) still withholds contributions for Medicare, but not Medicaid, from the employee's paycheck. C) still withholds contributions for Medicaid, but not Medicare, from the employee's paycheck. D) is no longer required to withhold contributions for Medicare or Medicaid from the employee's paycheck. 27) Which of the following is not part of the "individual mandate" provision of the Patient Protection and Affordable Care Act (ACA)? A) Individuals are allowed to opt out of the insurance program if they can prove they have no serious health issues and do so before the act fully takes effect in the year 2014. B) By 2016, fines for not having health insurance will be the greater of $695 per person or 2.5 percent of income. C) Beginning in 2014, individuals who do not…(b) How is the horizontal form of communication more prominent in Intermountain Healthcare?H applied for a individual major medical policy. When H filed a claim within the first year of coverage and the underwriter noticed that the H's age on the claim form was different than what was listed on the application. The insurer will take which of the following actions regarding H's claim? A: Deny the claim and refund premiums B: Deny the claim, cancel the policy and keep all premiums C: Pay the claim in full and keep the policy as is D: Adjust the claim benefit amount to the insured's correct age
- Which of the following is NOT a healthcare good or service? A)Vaccine B)Patient advocate (social worker) C)Life insurance D)Privately purchased a knee bracea) Suppose that your employer offered you $5,000 in cash instead of health insurance coverage. Health insurance is excluded from state and federal income taxes. (To keep the problem simple we will ignore Social Security and Medicare wage taxes.) The cash would be subject to state income taxes (8%) and federal income taxes (28%). How much would the value of the insurance ($5000) compared to the post-tax cash. b) How different would this calculation look for a worker who lived would face a state with zero income tax rate percent and a federal income tax rate of 15 percent. What would a worker consider if they believe themselves to be healthy and unlikely to need healthcare this year.Which type of coverage has the highest number of enrollees in US: Medicare Medicaid Employer-sponsored health insurance none of the above
- Which of the following is one of the solutions proposed by the Affordable Care Act to address the gaps in quality and unrestrained costs of the U.S. healthcare delivery system as seen through the Medicare fee-for-service system? A. Preferred provider organizations B. Accountable care organizations C. Patient-centered medical homes D. Point of service plansAnalyze the relationship between the financial well-being of the healthcare industry and availability of healthcare, in consideration of market and demand theoriesApproximately __________ million Americans are without health insurance.
- What differentiates for-profit and nonprofit healthcare organizations financially?Explain the ways in which trends within Medicare, Medicaid, and third-party payers affect working capital and the cost elements associated with the revenue cycle within a U.S.healthcare organization. Please include one reference.The impact of changing economic realities (not just Covid related) in the healthcare setting. Consider the customer perspective, organizational perspective, and provider perspective. Looking at the three perspectives, make recommendations for improvement.