Which Reimbursement System Places Cost, Utilization, and Actuarial Risk on the Insurer

question 9

Multiple Choice

Which reimbursement system places cost, utilization, and actuarial risk on the insurer?

• A) Cost
• B) Per diem
• C) Per case
• D) Capitation

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Definitions:

Diversity

The inclusion of individuals representing more than one national origin, color, religion, socioeconomic stratum, sexual orientation, etc., especially in a group or organization.

Gender

The range of characteristics pertaining to, and differentiating between, masculinity and femininity, socially constructed roles, behaviors, activities, and attributes a given society considers appropriate for men and women.

Nature

The physical world and everything in it, such as plants, animals, mountains, oceans, and stars, that is not made by humans.

Genes

The basic physical and functional units of heredity, made up of DNA, that determine specific characteristics by encoding proteins.