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Question ID 17112

One federal law amended the Social Security Act to allow states to set their own
qualification standards for HMOs that contracted with state Medicaid programs and revised
the requirement that participating HMOs have an enrollment mix of no more than 50%
combined Medicare and Medicaid members.
This act, which was the true stimulus for increasing participation by health plans in
Medicaid, is called the

Option A

Omnibus Budget Reconciliation Act of 1981 (OBRA-81)

Option B

Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA)

Option C

Employee Retirement Income Security Act of 1974 (ERISA)

Option D

Federal Employees Health Benefits Act of 1958 (FEHB Act)

Correct Answer A
Explanation


Question ID 17113

One example of health plan's influence on the practice of medicine is that, during the past
decade, the focus of healthcare has moved toward _________________, which is
designed to reduce the overall need for healthcare services by providing patients with
decision-making information.

Option A

Demand management

Option B

Managed competition

Option C

Comprehensive coverage

Option D

Private inurement

Correct Answer A
Explanation

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