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    Health care inquiry

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    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?
    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
    community-acquired pneumonia, congestive heart failure, and acute myocardial infarction only

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    Solution Preview

    A Chief Compliance Officer has final responsibility of all aspects of an HMO.
    Risk pools are usually ...

    Solution Summary

    This solution answers a few questions about different types of health care.