6/26/25, 11:35 AM MHA 706 Midterm- Lord COMPREHENSIVE questions answered, 2025 verified graded A+ already passed! Flashcards | Quizlet
MHA 706 Midterm- Lord COMPREHENSIVE
questions answered, 2025 verified graded A+
already passed!
Save
Terms in this set (104)
Pros: Ease of Information, Subject to a few
Proprietorships & regulations, no corporation income taxes.
Partnerships: Pros & Cons Cons: Limited life, difficult to transfer, unlimited life,
difficult to raise capital.
Pros: Unlimited life, easy transfer of ownership, limited
liability, ease of raising capital.
Corporations: Pros & Cons
Cons: Cost of formation and reporting, double or
triple taxes must be paid.
Non-profit Organization Exempt from taxes. Goal is to improve community.
(Investor Owned) Goal is to maximize shareholder
For-profit Organizations
return. Owe taxes.
the possibility of conflict of interest between the
stockholders and management of a firm.
Agency Problem
Example: Hire someone to carry out a job function,
but they go out of their interests instead of best
interests of company/organization.
https://quizlet.com/1057044708/mha-706-midterm-lord-comprehensive-questions-answered-2025-verified-graded-a-already-passed-flash-cards/ 1/11
, 6/26/25, 11:35 AM MHA 706 Midterm- Lord COMPREHENSIVE questions answered, 2025 verified graded A+ already passed! Flashcards | Quizlet
Private: Blue Cross Blue Shield, Commercial Insurers,
Self-Insurers. (AETNA)
Third-party payor system
in the US (i.e. private vs
Public: Medicare and Medicaid-both offer services to
public)
different levels. "Safety net" Lowest reimbursement
rates.
Fee for Service: payment is tied to amount of services
provided. (Decades ago) Dental industry
Reimbursement methods
(fee-for-service vs. Capitation: payment is tied to the size of the covered
capitation) population (number of enrollees) Payment is based
on per # per month. Decreasing utilization
Population is healthier.
Medicare reimbursement Medicare parts A, B & C.
for different types of
providers
Provides hospital insurance automatically at age 65 (if
Medicare Part A (aka
FICA qualified) at no fee but may have deductible &
Hospital Insurance or HI)
co-pay.
The part of the Medicare program that pays for
physician services, outpatient hospital services,
Medicare Part B
durable medical equipment, and other services and
supplies.
•Replaces and covers expenses found in Part A and B
Medicare Part C •Medicare private fee-for-service plans (PFFS)
(Medicare Advantage) •Medicare managed care plans (HMOs and PPOs)
•Medicare specialty plans
a United States federal-government program to
Medicare—Part D
subsidize the costs of prescription drugs and
Prescription Drug
prescription drug insurance premiums for Medicare
Coverage
beneficiaries.
https://quizlet.com/1057044708/mha-706-midterm-lord-comprehensive-questions-answered-2025-verified-graded-a-already-passed-flash-cards/ 2/11
MHA 706 Midterm- Lord COMPREHENSIVE
questions answered, 2025 verified graded A+
already passed!
Save
Terms in this set (104)
Pros: Ease of Information, Subject to a few
Proprietorships & regulations, no corporation income taxes.
Partnerships: Pros & Cons Cons: Limited life, difficult to transfer, unlimited life,
difficult to raise capital.
Pros: Unlimited life, easy transfer of ownership, limited
liability, ease of raising capital.
Corporations: Pros & Cons
Cons: Cost of formation and reporting, double or
triple taxes must be paid.
Non-profit Organization Exempt from taxes. Goal is to improve community.
(Investor Owned) Goal is to maximize shareholder
For-profit Organizations
return. Owe taxes.
the possibility of conflict of interest between the
stockholders and management of a firm.
Agency Problem
Example: Hire someone to carry out a job function,
but they go out of their interests instead of best
interests of company/organization.
https://quizlet.com/1057044708/mha-706-midterm-lord-comprehensive-questions-answered-2025-verified-graded-a-already-passed-flash-cards/ 1/11
, 6/26/25, 11:35 AM MHA 706 Midterm- Lord COMPREHENSIVE questions answered, 2025 verified graded A+ already passed! Flashcards | Quizlet
Private: Blue Cross Blue Shield, Commercial Insurers,
Self-Insurers. (AETNA)
Third-party payor system
in the US (i.e. private vs
Public: Medicare and Medicaid-both offer services to
public)
different levels. "Safety net" Lowest reimbursement
rates.
Fee for Service: payment is tied to amount of services
provided. (Decades ago) Dental industry
Reimbursement methods
(fee-for-service vs. Capitation: payment is tied to the size of the covered
capitation) population (number of enrollees) Payment is based
on per # per month. Decreasing utilization
Population is healthier.
Medicare reimbursement Medicare parts A, B & C.
for different types of
providers
Provides hospital insurance automatically at age 65 (if
Medicare Part A (aka
FICA qualified) at no fee but may have deductible &
Hospital Insurance or HI)
co-pay.
The part of the Medicare program that pays for
physician services, outpatient hospital services,
Medicare Part B
durable medical equipment, and other services and
supplies.
•Replaces and covers expenses found in Part A and B
Medicare Part C •Medicare private fee-for-service plans (PFFS)
(Medicare Advantage) •Medicare managed care plans (HMOs and PPOs)
•Medicare specialty plans
a United States federal-government program to
Medicare—Part D
subsidize the costs of prescription drugs and
Prescription Drug
prescription drug insurance premiums for Medicare
Coverage
beneficiaries.
https://quizlet.com/1057044708/mha-706-midterm-lord-comprehensive-questions-answered-2025-verified-graded-a-already-passed-flash-cards/ 2/11
