Who has final responsibility for all aspects of an HMO? Chief Executive Officer (CEO) Chief Compliance Officer (CCO) Chief Operating Officer (COO) Board of Directors
3. (TCO A) Risk pools are usually categorized by which of the following? The age and sex of the enrolled members Pool of doctors (PODs) Types of medical services None of the above All of the above
4. (TCO B) Which of the following forms of hospital reimbursement contain no elements of risk sharing by the hospital? Capitation DRGs Per diem Sliding-scale FFS Per diem and sliding-scale FFS
5. (TCO B) Common areas of clinical focus subject to hospital P4P programs include __________. community-acquired pneumonia congestive heart failure acute myocardial infarction prevention community-acquired pneumonia, congestive heart failure, and acute myocardial infarction only
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