题目如下,大多数TX应该都做过的。我对于该题的意思是清楚地:美国医院主要靠政府或者私人的医保来获利并cover无法付费的病人支出。目前由于保险业政策收紧,他们将仅仅付给医院刚刚好的或者低于实际损失的费用。
我不明白的地方在于美国医院的运作机制。是投保病人到医院后不会付费给医院,之后由医院进行向保险公司索赔吗?按照中国的看病流程,是病人先付全款,可以索赔的部分由病人向保险公司索赔,如果按照这种逻辑,就不会存在因为保险公司少付而使医院出现损失的情形了......所以我觉得我在这道题的理解偏差在于社会文化,而非语言层面了...各位的理解呢?谢谢啦
United States hospitals have traditionally relied primarily on revenues from paying patients to offset losses from unreimbursed care.Almost all paying patients now rely on governmental or private health insurance to pay hospital bills.Recently, insurers have been strictly limiting what they pay hospitals for the care of insured patients to amounts at or below actual costs. Which of the following conclusions is best supported by the information above?
(A) Although the advance of technology has made expensive medical procedures available to the wealthy, such procedures are out of the reach of low-income patients.
(B) If hospitals do not find ways of raising additional income for unreimbursed care, they must either deny some of that care or suffer losses if they give it.
(C) Some patients have incomes too high for eligibility for governmental health insurance but are unable to afford private insurance for hospital care.
(D) If the hospitals reduce their costs in providing care, insurance companies will maintain the current level of reimbursement, thereby providing more funds for unreimbursed care.
(E) Even though philanthropic donations have traditionally provided some support for the hospitals, such donations are at present declining. |