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There are currently four CAHPS 5.0H questionnaires for health plans, covering HMO, POS, and PPO products:

a) True
b) False

1 Answer

1 vote

Final answer:

The statement regarding the existence of four CAHPS 5.0H questionnaires for certain health plans is false. Information about CAHPS surveys should be verified directly from AHRQ or current resources. HMOs and fee-for-service systems represent different models of healthcare financing.

Fasle

Step-by-step explanation:

The statement suggesting that there are currently four CAHPS 5.0H questionnaires for health plans covering HMO, POS, and PPO products is false. Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys are a set of standardized surveys that measure patients' experiences with their health care. The number of CAHPS surveys in existence or specific to certain types of health plans can vary; therefore, confirming the exact number of CAHPS 5.0H questionnaires available for specific health plan products would require up-to-date information from official resources or the Agency for Healthcare Research and Quality (AHRQ), which oversees CAHPS.

In the context of healthcare financing, HMO represents a form of health insurance where providers are reimbursed based on the number of patients they handle, which is distinct from the fee-for-service system where providers are paid for each service performed. Adverse selection becomes a concern in insurance markets when there is informational asymmetry between insurance buyers and the providers.

User John Sibly
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