| Question 1. 1. (TCO A) Briefly discuss the history of health maintenance organizations (HMOs) and provide examples of HMOs. (Points : 25) |
| Question 2. 2. (TCO B) Define integrated delivery systems, and list types of integrated delivery systems. (Points : 20) |
| Question 3. 3. (TCO C) Discuss the provisions of the Patient Protection and Affordable Care Act (PPACA). (Points : 25) |
| Question 4. 4. (TCO D) Explain how fees are determined for health care services. (Points : 25) |
| Question 5. 5. (TCO D) Discuss claims capability and the four core competencies. (Points : 25) |
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