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(ISC)2

HCISPP · Question #294

A multiple payer system is more cumbersome than a single payer system for all of the following reasons except:

The correct answer is C. Some healthcare services are covered for people in the north, but not in the south. Geographic disparities in coverage (north vs. south) are not an inherent administrative burden caused by having multiple payers-coverage differences are determined by individual plan designs, not region. The remaining options are genuine burdens of a multi-payer system…

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Question

A multiple payer system is more cumbersome than a single payer system for all of the following reasons except:

Options

  • AThere are numerous health plans, which is difficult for providers to handle
  • BPayments are not standardized across health plans
  • CSome healthcare services are covered for people in the north, but not in the south
  • DGovernment programs required extensive documentation proving services were provided before

How the community answered

(54 responses)
  • A
    6% (3)
  • B
    4% (2)
  • C
    89% (48)
  • D
    2% (1)

Explanation

Geographic disparities in coverage (north vs. south) are not an inherent administrative burden caused by having multiple payers-coverage differences are determined by individual plan designs, not region. The remaining options are genuine burdens of a multi-payer system: managing hundreds of different health plans is administratively complex for providers (A), non-standardized payment rates force providers to track and negotiate separate fee schedules (B), and government programs historically required extensive documentation before reimbursing claims (D).

Topics

#Multiple Payer Systems#Healthcare Financing#Administrative Burden

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