Which of the following is the largest source of financing for nursing home care?

Rationale:

A. Private long-term care insurance: While private long-term care insurance can help cover the costs of nursing home care for individuals who have purchased policies, it is not the largest source of financing for nursing home care.

B. Medicaid: Medicaid is the largest source of financing for nursing home care in the United States. It provides coverage for low-income individuals who meet eligibility criteria, including coverage for long-term care services such as nursing home care.

C. Medicare: While Medicare provides limited coverage for skilled nursing facility care following a hospital stay, it is not the largest source of financing for nursing home care overall.

D. Private out-of-pocket payments: Private out-of-pocket payments, including payments made by individuals or their families, contribute to financing nursing home care but are typically not as significant as Medicaid.

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.