How did managed care organizations (MCOs) garner enormous buying power?
By integration of several organizations under the same ownership or contractual arrangements
By shared savings program under the ACA
By providing an array of health care services to a large community
By enrolling a large segment of the insured population
The Correct Answer is A
A. By integration of several organizations under the same ownership or contractual
arrangements: MCOs garner enormous buying power by integrating various healthcare providers and services under one ownership or through contractual agreements, which allows them to negotiate better rates with suppliers and providers.
B. By shared savings program under the ACA: While the shared savings program under the ACA aims to reduce healthcare costs, it is not the primary method through which MCOs gained their buying power.
C. By providing an array of health care services to a large community: Providing a wide range of services enhances the value offered by MCOs but does not directly lead to significant buying power.
D. By enrolling a large segment of the insured population: Enrolling a large number of insured
individuals helps MCOs spread risk but is not the main factor that provides them with enormous buying power.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Private inpatient facilities: Private inpatient facilities emerged later in the evolution of hospitals and were not the first major stage.
B. Community homeless shelters: Community homeless shelters serve a different purpose than hospitals and are not considered a stage in the evolution of hospitals.
C. University-based medical centers: University-based medical centers evolved later and are associated with medical education and research, rather than being the first major stage of hospital evolution.
D. Almshouses: Almshouses, which provided care for the poor, sick, and elderly, are considered the earliest form of hospitals and represent the first major stage of hospital evolution. They originated in Europe during medieval times and were precursors to modern hospitals.
Correct Answer is B
Explanation
Rationale:
A. Well-to-do, private-pay patients started using hospitals: This development is more characteristic of stage 1 of the evolution of hospitals, where hospitals primarily served the wealthy and were often charitable institutions.
B. Advanced sanitation, nursing, and medical services: Stage 2 of the evolution of hospitals saw significant improvements in sanitation practices, the professionalization of nursing, and advancements in medical services, contributing to the transformation of hospitals into more
modern healthcare institutions.
C. Transition from primarily government institutions to community institutions: While the role of hospitals expanded to serve broader community needs during this stage, it was not the defining characteristic of stage 2.
D. Medical discoveries transformed hospitals into institutions of medical: While medical discoveries certainly influenced the evolution of hospitals, they were not unique to stage 2 and were ongoing throughout the development of healthcare institutions.
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