Blog

With proctoring, the session is recorded and sent to the instructor for review if the exam is flagged for possible academic dishonesty.

In the online textbook, openstax Psychology 2e, the title of Chapter 1 is Introduction to

What do you hope to learn from this semester together? and/or Why are you enrolled in Introductory Psychology?

An act must be distinguished as either a crime or a tort; it cannot be both.

Using the following diagram: Where is the function g(x) increasing?

Using the following diagram: State the domain of f(x):

Using the following diagram: State the range of g(x):

Use the following information in questions 34 through 37 General Hospital and Magellan Insurance entered into a contract.  General Hospital agreed to provide healthcare services to Magellan’s insured lives.  General Hospital will be paid for inpatient services on a DRG-basis.  Outpatient services will be paid on a fee schedule basis. The contract includes a two-sided shared savings model, with quality indicators.  In the prior year, Magellan paid General Hospital $500 million for healthcare services.  This year, General Hospital and Magellan agreed to a target of $475 million.  General Hospital and Magellan agreed to the following: If actual costs are up to $5 million above or below the target, Magellan retains the cost savings/excess costs If actual costs are $5 million to $10 million above or below target, the savings/excess will be shared equally by General Hospital and Magellan. If actual costs are $10,000,001 to $25,000,000 above or below target, the savings/excess will be shared 75% (General Hospital)/25% (Magellan) Any cost savings/excess costs above $25,000,000 will be retained by Magellan Quality Indicators must be met to share in any cost-savings, and have no impact on shared losses. Indicate the shared savings/shared losses amounts General Hospital should record for each of the following scenarios.  Actual costs were $20 million under target, and quality measures were better than goal?

Mr. Blue has health insurance with Spectrum Health Group.  Mr. Blue had emergency surgery at Coachline Medical Center and incurred gross charges of $40,000.  Under Spectrum’s contract with Coachline, the total reimbursement to be paid to Coachline is $24,000; Mr. Blue’s co-pay is $2,000, and Spectrum will pay $22,000.  Mr. Blue has been a patient at Coachline before, and has never paid his co-pay.  What amount of patient service revenue should Coachline record?

Use the following information for questions 23 through 25.  On January 1, General Hospital entered into a capitated contract with ABC Health Plans to provide healthcare services to 200,000 of ABC’s covered lives.  Under the terms of the contract, General Hospital receives $120 PMPM.  The contract is a global risk contract, and does not contain any risk sharing provisions.  On January 1, General Hospital entered into a capitated contract with ABC Health Plans to provide healthcare services to 200,000 of ABC’s covered lives.  The contract is a global risk contract, and does not contain any risk sharing provisions.  In researching General’s historical lag between when claims occur and when they are paid, you obtain the following information:  Claims paid in the month they are incurred:  15%  Claims paid in the month after they are incurred:  50%  Claims paid two months after they are incurred:  25%  Claims paid three months after they are incurred:  10%  You determine that the medical claims expense recorded for the months of March, April and May were $30 million, $27 million and $21 million, respectively.  During the month of June, General paid $25 million of medical claims, of which $3 million were for services rendered in June.  You also learn that General received but has not yet paid invoices from healthcare providers for services rendered to lives covered under General’s global risk contract; the invoices total $5 million of which $2 million relate to services rendered in June.  What is the amount of incurred but not reported (IBNR) claims General should have on its books at June 30, (rounded to the nearest million)?