Which of the following groups of people pay for the benefits of Medicare?
Health insurance companies
Only doctors and nurses
Hospital employees
Taxpayers
The Correct Answer is D
A. Health insurance companies: While health insurance companies may play a role in administering Medicare plans, they do not directly pay for the benefits of Medicare. Medicare is primarily funded through taxpayer contributions.
B. Only doctors and nurses: Healthcare providers, including doctors and nurses, do not directly pay for the benefits of Medicare. They may receive reimbursements for services rendered to Medicare beneficiaries, but they are not the ones funding the program.
C. Hospital employees: Hospital employees do not directly pay for the benefits of Medicare.
Like other taxpayers, they may contribute to Medicare funding through taxes deducted from their salaries.
D. Taxpayers: The benefits of Medicare, a federal health insurance program primarily for people age 65 and older, are funded by taxpayers through various revenue sources, including payroll
taxes, income taxes, and premiums paid by beneficiaries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Look at the performance of an individual or organization: Micro perspectives on quality focus on evaluating the performance of specific individuals, healthcare providers, or organizations, such as hospitals or clinics.
B. Look at quality from the population's standpoint: This is an example of a macro perspective on quality, which considers healthcare outcomes and quality indicators at a broader population level.
C. Joint Commission quality check website: The Joint Commission is a healthcare accrediting organization that evaluates and accredits healthcare organizations and programs based on
established standards and quality measures. While it contributes to quality assessment, it does not represent a specific perspective (micro or macro).
D. Reflect the performance of the entire health care delivery system: This is another example of a macro perspective on quality, which assesses the overall performance and effectiveness of the healthcare delivery system as a whole.
Correct Answer is A
Explanation
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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