Who is responsible for providing all Medicare-covered services except hospice care in exchange for a predetermined capitated payment?

Study for the MCBC Medicare Exam. Use flashcards and multiple choice questions with hints and explanations. Ensure exam readiness with our comprehensive content!

The correct answer emphasizes the role of Medicare Advantage Organizations, which are also known as Medicare Part C plans. These organizations enter into arrangements with Medicare to provide a variety of services to eligible beneficiaries. In this model, they receive a fixed, predetermined capitated payment from Medicare for each member enrolled in their plan, allowing them to manage costs and services effectively.

Medicare Advantage Organizations are responsible for covering all Medicare services except for hospice care, which remains under Original Medicare. This arrangement allows these organizations to offer additional benefits and streamline the Medicare service delivery process. As a result, beneficiaries often find additional options for supplemental coverage or other services as part of their Advantage plans.

Understanding this structure is vital because it highlights how the delivery of Medicare services can be managed outside of the traditional fee-for-service model, emphasizing the importance of coordination and value-based care.

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