Final answer:
The statement regarding capitation, where healthcare services are provided for a set fee per covered individual, is TRUE. Capitation is typical in HMOs and contrasts with the fee-for-service model, as it incentivizes efficiency and discourages unnecessary treatments.
Step-by-step explanation:
The student's question pertains to capitation, a payment mechanism in health care. The statement that all health care services are included under one set fee per covered individual is TRUE. This form of payment is common within health maintenance organizations (HMOs), where healthcare providers receive a fixed amount per patient enrolled in the plan, regardless of the number of services provided.
This payment system is fundamentally different from the fee-for-service system, where providers are reimbursed based on the services they deliver. Capitation aims to provide incentives for healthcare providers to focus on efficiency and prevention, as they will receive the same payment regardless of the volume of care. It also reduces the moral hazard by discouraging unnecessary treatments, given that performing more services does not equate to higher payments.