(SOLVED) provided payment for physician care, but not for hospital care.

Discipline: Nursing

Type of Paper: Question-Answer

Academic Level: Undergrad. (yrs 1-2)

Paper Format: APA

Pages: 1 Words: 104

Question

insurers began offering commercial insurance plans in the 1930s. the first insurance plans:

A. provided payment for hospital care, but not for physician care.
B. provided payment for physician care, but not for hospital care
C. provided for both hospital and physician care
D. provided for neither hospital care nor physician care


Expert solution paper


Answer :-

B) Provided payment for physician care, but not for hospital care.

The most popular reimbursement scheme includes fee-for-service (FFS), which would be exactly as it sounds like: providers charge a code for each service provided, including supplies. If a patient has a laceration and requires stitches, the provider is reimbursed for both the physician visit and the operation.

A capitated pricing structure could contain provider incentives when physicians cut costs, minimise use, and enhance patient outcomes, but it usually has fewer options than other payment models. By withholding a specific percentage of payments, payers can occasionally form an insurance pool for providers.