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One true statement about the compensation arrangement known as the case rate system is that, under this system,
Suggested Answer: A
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28 comments · newest first
ME
Melodie
8 months ago
D seems true. Payors benefit from cost savings.
AL
Altha
8 months ago
C doesn't make sense. Payors adjust rates based on severity.
FA
Farrah
9 months ago
I feel B is misleading. Providers do manage costs.
AN
Annmarie
9 months ago
I think A is correct. Providers can gain or lose.
MA
Malinda
9 months ago
I’m not so sure about A. Isn’t it more complicated than just the number of treatments?
NA
Nan
9 months ago
D makes sense. Payors love saving money when providers cut costs.
TI
Tish
9 months ago
Wait, C sounds off. Can payors really not adjust rates for severity?
CA
Carin
9 months ago
I disagree with B. Providers actually have to manage costs to stay profitable.
MA
Maurine
10 months ago
Option C is just silly. Of course payors can adjust the rates based on patient severity. That's the whole point of the case rate system.
TH
Thaddeus
10 months ago
Haha, I bet the payors wish they could adjust the case rates. That would be too easy for them!
CE
Cecily
10 months ago
I agree, A is the right answer. Providers need to be proactive in managing costs to make a profit.
SH
Shawna
10 months ago
Option A is correct. Providers definitely have incentives to manage costs and utilization under the case rate system.
JO
Joesph
10 months ago
I’m leaning towards A because it seems like providers would be incentivized to manage costs, but I could see D being a possibility too.
AL
Alica
10 months ago
I remember studying that case rates can lead to providers being more efficient, so maybe B is definitely not true.
BA
Barney
11 months ago
A) is definitely true! Providers can really lose out if they over-treat.
CR
Craig
11 months ago
I feel like there was a practice question that mentioned payors adjusting rates based on patient severity, which makes me think C might be incorrect.
DE
Delmy
11 months ago
Providers standing to gain or lose based on treatments? Sounds like a recipe for some interesting medical decisions!
OT
Otis
11 months ago
I think the case rate system is about how providers get paid based on the treatments they provide, but I'm not sure if it's A or D.
HE
Heidy
12 months ago
Ah, the case rate system - I remember learning about that. I think the key is that providers have to manage costs and utilization, so A seems like the right choice here. I'll double-check the other options just to be sure.
JU
Junita
12 months ago
I feel pretty confident about this one. The case rate system is designed to shift financial risk to the provider, so A seems like the correct answer. The other choices don't quite capture the core incentives at play.
ZI
Zita
1 year ago
Okay, let me think this through. I know the case rate system involves a fixed payment per case, so providers have an incentive to keep costs down. But I'm not sure about the specifics of how payors are involved. I'll have to analyze the answer choices more closely.
KA
Kathryn
1 year ago
Hmm, I'm a bit confused on this one. I think the key is understanding how the case rate system works in terms of provider incentives and payor involvement. I'll need to review that more carefully.
JE
Jean
1 year ago
I'm pretty sure the answer is A. The case rate system incentivizes providers to manage costs and utilization since they stand to gain or lose based on the treatments used.
EL
Elmer
7 months ago
A is the best choice. Providers have to be smart with resources.
AL
Allene
7 months ago
I think A is right too. It aligns incentives well.
JU
Julie
7 months ago
A is correct. It’s all about managing treatments.
AL
Alaine
8 months ago
Definitely A! It encourages efficiency.
DY
Dyan
11 months ago
I agree, A makes the most sense. Providers need to manage costs.