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  3. In a sweeping overall inspection of its $21 billion Medicaid program, the Florida Legislature approved a bill to shift nearly th

In a sweeping overall inspection of its $21 billion Medicaid program, the Florida Legislature approved a bill to shift nearly th

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问题     In a sweeping overall inspection of its $21 billion Medicaid program, the Florida Legislature approved a bill to shift nearly three million Medicaid recipients into managed-care programs【C1】________saving money and improving services.
    "Medicaid has grown faster than any other part of our budget," said State Senator Joe Negron, who took the【C2】________on the bill. "It is【C3】________out funding for education, economic development and other parts of the budget that are equally【C4】________."
    If signed into law as expected, the bill will make Florida,【C5】________one of the largest number of Medicaid patients and a high rate of those who are not insured, one of the biggest states to jump【C6】________entirely from a traditional Medicaid payment system into managed care.
    The bill, a【C7】________between the House and the Senate versions, would allow the state to decide how much to spend on Medicaid each year,【C8】________in the profits of managed-care companies if they exceed 5 percent and punish networks that【C9】________contracts. To help ensure【C10】________care for patients, the bill would【C11】________require plans to include specialists and provide higher refund rates to doctors.
    Patients would be charged $10 monthly premiums and $100【C12】________they showed up at the emergency room with a non-emergency. The state and managed-care companies would control which services to provide to Medicaid patients. In so doing, the legislation would【C13】________the existing fee-for-service system, in which the state pays providers for each service, a practice that has led to widespread care【C14】________. Refund rates have dropped so low that many doctors【C15】________not to treat Medicaid patients. The Legislature’s bill seeks to【C16】________those issues with the requirement that plans include specialists and the higher repayment rates to doctors.
    Another good news for doctors and hospitals is a【C17】________that limits the amount they would have to pay out in【C18】________caused by not proper practice, for pain and suffering to $300,000 for each Medicaid claimant. Senator Negron said the upper limit was【C19】________because doctors who treat Medicaid patients are basically providing a public service and should be【C20】________to do so.
【C13】
选项 A、do away with
B、make up with
C、get down to
D、come up with
答案A
解析 这里讲的是法案批准后的新的医疗方式——管理式医疗保险模式。在新模式下，州政府和管理式医疗保险公司将控制提供给医疗补助病人的服务类型，这与现行的一次一付的医疗付费制度不大相同，而后讲到现行的制度的种种弊端，故推测立法机关将废除现行的医疗付费制度，故选A项do away with“废除”。B项make up with“与……和解”，通常后面接入，不接物。C项get down to意为“开始认真考虑；着手处理”，现行的一次一付的医疗付费制度早已存在，不用再着手处理或考虑。D项come up with“提出”。后面一般接观点、建议、办法、答案等。
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