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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

admin2015-11-27  44
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”。
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