A foundation model integrated delivery system exists when

Question

Question 1: A foundation model integrated delivery system exists when hospital buys physician practices and places those practices into the foundation.

• True
• False

Question 2: In 1994 Tricare was developed and was patterned after many of the managed care elements of the civilian healthcare system to cover the military beneficiaries.

• True
• False

Question 3: In India the average healthcare expenditure per person is $87 compared to $6,714 per person in the United States. The country that has the best healthcare according to WHO spends $3,554. Which country is that?

• France
• Australia
• Canada
• Germany

Question 4: The reported Medical Loss Ratio of a health insurer is the ratio of paid medical claims versus the administrative cost of the premiums paid. Under the ACA large group plans must have a ratio at or above:

• 80%
• 85%
• 90%
• 95%

Question 5: An analytical method of separating coverage into preferred providers and non-preferred providers is to use:

• Claims data
• Provider profiles
• DRG data
• ICD-10 coding