The Difference Between the CMS HCC and the RxHCC Models

question 16

Multiple Choice

The difference between the CMS HCC and the RxHCC models is in the potential expenditure. Each model calculates total expenditures, which in the CMS-HCC model are medical services, and in the RxHCC model, the expenditures are reflective of:

• A) medical expenditures.
• B) prescription drug costs.
• C) comorbid conditions.
• D) complexity of diagnoses.

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Definitions:

Schools Of Thought

Various philosophies or methods of thinking within a particular field or issue.

Family

A social unit comprising individuals related by blood, marriage, or adoption, often forming a household and involved in mutual care and responsibilities.

Disappearing

The act of vanishing or becoming invisible or nonexistent.

Serial Monogamy

Individuals marry several people, but one at a time.