Question: 1. Under a capitated payment system which is NOT true? a. A provider receives a fixed monthly sum per member regardless of the number or
1. Under a capitated payment system which is NOT true?
a. A provider receives a fixed monthly sum per member regardless of the number or type of services provided to patients
b. Physicians generally provide all care necessary for a total payment, but physicians are always assured of being reimbursed their cost, just as in fee for services
c. There is more incentive under a capitated rate than under fee for service to perform fewer and less costly services
d. Financial risk is assumed by the provider physician in a capitated rate, and will not be paid for each service and may not cover actual expenses to deliver the care
2. Insured groups with average risk rates are attractive to insurors because the cost of insuring a few unhealthy people will be offset by savings from insuring many healthy ones.
True or False?
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