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The American healthcare system has a unique problem with paperwork.The sheer number of participants-physicians,hospitals,clinics,insurance companies,patients--makes settling payments complicated,time-consuming and really expensive.The share of U.S.healthcare spending devoted to administrative costs is roughly three times what it is in other affluent countries.And it's a major reason the U.S.spends twice as much on healthcare.Some health clinics employ more clerks than care providers--not just to generate invoices but to send along the patient information insurers need to approve treatments,to dispute insurer decisions denying payment,to fix mistakes,to handle patients'questions,and on and on.For every I billion in revenue,the healthcare system employs the equivalent of 770 full-time people to settle the bills.That's almost eight times more than other industries.And doctors have to spend inordinate time dealing with red tape.Of course,if the U.S.were to magically switch to a single-payer healthcare system,these expenses would fall dramatically.The government would simply determine prices and write checks without dispute,as Medicare does for its direct beneficiaries.But such a change is neither realistic nor desirable in a country where half the population has employer-sponsored insurance.That said,it's still possible to trim administrative costs within the existing system.The best way to do so is for providers and insurers to standardize their billing practices and modernize their computer systems he federal government has long pushed for such efficiency.A 1996 law set some preliminary standards for the electronic processing of claims,payments and other transactions.But they weren't nearly enough,and insurers could still complicate invoices by requesting additional patient data.The HITECH Act of 2009 and the Affordable Care Act of 2010 gave providers further incentives to adopt electronic records and make them more uniform.Yet to a large extent,insurance companies continue to maintain distinct billing codes and torms,and providers still use separate computer systems for medical records and billing-making it im possible to automate claims processing.In this,healthcare stands apart from almost every other industry.Think of the way banks,for example,have standardized their operations to enable all customers to use the same ATMs and credit-card readers.The federal government needs to keep pushing for standardized electronic health systems,and also to change how healthcare prices are set.Bundled care and other alternatives to the fee-for-service model could greatly streamline billing.Patients have increasing cause to demand such change.With premiums,co-pays and deductibles rising,U.S.consumers now pay more for their health care than their employers do.Administrative inefficiency adds another layer of needless expense.Billing shouldn't have to be so complicated,or costly
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参考解析
解析：美国医疗支出中用于行政费用的比例大约是其他富裕国家的三倍。这是一个简单句,主语为The share of u.S.healthcare spending devoted to administrative costs,系动词为is,表语为roughly three time ghat it Is other affluent countries o文常来国费不器表示倍数的句型归纳:①倍数as+形容词或副词原级+as如:This bridge is three times as long as that one.这座桥是那座桥的三倍长。②倍数+形容词或副词的比较级+than,如:This bridge is three times longer than that one,这座桥是那座桥的三倍长。③倍数+the size/length/weight…++比较对象x如:This bridge is three times the length of that one这座桥是那座桥的三倍长。如:The college is twice what it was 5 years ago所大学是它五年前的两倍大。
更多 “The American healthcare system has a unique problem with paperwork.The sheer number of participants-physicians,hospitals,clinics,insurance companies,patients--makes settling payments complicated,time-consuming and really expensive.The share of U.S.healthcare spending devoted to administrative costs is roughly three times what it is in other affluent countries.And it's a major reason the U.S.spends twice as much on healthcare.Some health clinics employ more clerks than care providers--not just to generate invoices but to send along the patient information insurers need to approve treatments,to dispute insurer decisions denying payment,to fix mistakes,to handle patients'questions,and on and on.For every I billion in revenue,the healthcare system employs the equivalent of 770 full-time people to settle the bills.That's almost eight times more than other industries.And doctors have to spend inordinate time dealing with red tape.Of course,if the U.S.were to magically switch to a single-payer healthcare system,these expenses would fall dramatically.The government would simply determine prices and write checks without dispute,as Medicare does for its direct beneficiaries.But such a change is neither realistic nor desirable in a country where half the population has employer-sponsored insurance.That said,it's still possible to trim administrative costs within the existing system.The best way to do so is for providers and insurers to standardize their billing practices and modernize their computer systems he federal government has long pushed for such efficiency.A 1996 law set some preliminary standards for the electronic processing of claims,payments and other transactions.But they weren't nearly enough,and insurers could still complicate invoices by requesting additional patient data.The HITECH Act of 2009 and the Affordable Care Act of 2010 gave providers further incentives to adopt electronic records and make them more uniform.Yet to a large extent,insurance companies continue to maintain distinct billing codes and torms,and providers still use separate computer systems for medical records and billing-making it im possible to automate claims processing.In this,healthcare stands apart from almost every other industry.Think of the way banks,for example,have standardized their operations to enable all customers to use the same ATMs and credit-card readers.The federal government needs to keep pushing for standardized electronic health systems,and also to change how healthcare prices are set.Bundled care and other alternatives to the fee-for-service model could greatly streamline billing.Patients have increasing cause to demand such change.With premiums,co-pays and deductibles rising,U.S.consumers now pay more for their health care than their employers do.Administrative inefficiency adds another layer of needless expense.Billing shouldn't have to be so complicated,or costly” 相关考题
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When debugging a routing problem, the time－to－live (TTL) value can be used to determine:()
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A system administrator has just applied an update to an AIX system to correct a problem, The APAR number is IX49035 and was shipped as part of the PTF number U437542. After applying the APAR fix, the administrator wants to ensure that the fix is applied before informing the system users of the corrected problem. Which of the following commands should the system administrator run to verify that the APAR fix has been applied to the system?（）A.lslpp -f IX49035B.lslpp -fB U437542C.instfix -f IX49035D.instfix -ik IX49035
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共用题干
Health care in the US is well known but very expensive.Paying the doctor's bill after a major illness or accident can cost hundreds of thousands of dollars.In the US,a person's company,not the government,pays for health insurance.Employers have contracts with insurance companies,which pay for all or part of employees' doctors' bills.The amount that the insurance company will pay out to a patient differs wildly.It all depends on what insurance the employer pays.The less the boss pays to the insurance company,the more the employee has to pay the hospital each time he or she gets sick.In 2004,the average worker paid an extra $558 a year,according to a San Francisco report.The system also means many Americans fall through the cracks（遭遗漏）.In 2004,only 61 percent of the population received health insurance through their employers,according to the report. The unemployed,self-employed,part-time workers and graduated students with no jobs were not included.Most US university students have a gap between their last day of school and their first day on the job.Often,they are no longer protected by their parents' insurance because they are now considered independent adults.They also cannot buy university health insurance because they are no longer students.Another group that falls through the gap of the US system is international students.All are required to have health insurance and cannot begin their classes without it. But exact policies（保险单）differ from school to school.Most universities work with health insurance companies and sell their own standard plan for students.Often,buying the school plan is required,but luckily it's also cheaper than buying directly from the insurance company.In the US,a person's company buys him or her health insurance.A:Right B:Wrong C:Not mentioned
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共用题干
Health Care in the USHealth care in the US is well-known but very expensive.Paying the doctor's bill after a major illness or accident can cost hundreds of thousands of dollars.In the US,a person's company,not the government,pays for health insurance. Employers have contracts with insurance companies,which pay for all or part of employees' doctors' bills.The amount that the insurance company will pay out to a patient differs wildly. It all depends on what insurance the employer pays.The less the boss pays to the insurance company,the more the employee has to pay the hospital each time he or she gets sick. In 2004,the average worker paid an extra US$558 a year,according to a San Francisco report.The system also means many Americans fall through the cracks（遭遗漏）.In 2004, only 61 percent of the population received health insurance through their employers, according to the report. The unemployed,self-employed,part-time workers and graduated students with no jobs were not included,Most US university students have a gap between their last day of school and their first day on the job.Often,they are no longer protected by their parents' insurance because they are now considered independent adults.They also cannot buy university health insurance because they are no longer students.Another group that falls through the gap of the US system is international students.All are required to have health insurance and cannot begin their classes without it,But exact policies（保险单）differ from school to school.Most universities work with health insurance companies and sell their own standard plan for students.Often,buying the school plan is required,but luckily it's also cheaper than buying direct from the insurance company. The international students in the US work harder than the American students.A:Right B:Wrong C:Not mentioned
考题
共用题干
Health care in the US is well known but very expensive.Paying the doctor's bill after a major illness or accident can cost hundreds of thousands of dollars.In the US,a person's company,not the government,pays for health insurance.Employers have contracts with insurance companies,which pay for all or part of employees' doctors' bills.The amount that the insurance company will pay out to a patient differs wildly.It all depends on what insurance the employer pays.The less the boss pays to the insurance company,the more the employee has to pay the hospital each time he or she gets sick.In 2004,the average worker paid an extra $558 a year,according to a San Francisco report.The system also means many Americans fall through the cracks（遭遗漏）.In 2004,only 61 percent of the population received health insurance through their employers,according to the report. The unemployed,self-employed,part-time workers and graduated students with no jobs were not included.Most US university students have a gap between their last day of school and their first day on the job.Often,they are no longer protected by their parents' insurance because they are now considered independent adults.They also cannot buy university health insurance because they are no longer students.Another group that falls through the gap of the US system is international students.All are required to have health insurance and cannot begin their classes without it. But exact policies（保险单）differ from school to school.Most universities work with health insurance companies and sell their own standard plan for students.Often,buying the school plan is required,but luckily it's also cheaper than buying directly from the insurance company.In 2004,most of the unemployed in the US were women.A:Right B:Wrong C:Not mentioned
考题
共用题干
Health Care in the USHealth care in the US is well-known but very expensive.Paying the doctor's bill after a major illness or accident can cost hundreds of thousands of dollars.In the US,a person's company,not the government,pays for health insurance. Employers have contracts with insurance companies,which pay for all or part of employees' doctors' bills.The amount that the insurance company will pay out to a patient differs wildly. It all depends on what insurance the employer pays.The less the boss pays to the insurance company,the more the employee has to pay the hospital each time he or she gets sick. In 2004,the average worker paid an extra US$558 a year,according to a San Francisco report.The system also means many Americans fall through the cracks（遭遗漏）.In 2004, only 61 percent of the population received health insurance through their employers, according to the report. The unemployed,self-employed,part-time workers and graduated students with no jobs were not included,Most US university students have a gap between their last day of school and their first day on the job.Often,they are no longer protected by their parents' insurance because they are now considered independent adults.They also cannot buy university health insurance because they are no longer students.Another group that falls through the gap of the US system is international students.All are required to have health insurance and cannot begin their classes without it,But exact policies（保险单）differ from school to school.Most universities work with health insurance companies and sell their own standard plan for students.Often,buying the school plan is required,but luckily it's also cheaper than buying direct from the insurance company. The health care system in the US takes care of everyone in the country.A:Right B:Wrong C:Not mentioned
考题
Text 2 As lawmakers fight over what conditions insurance companies should be required to cover,other areas of health-care reform remain painfully neglected.One major example:How much should insurance companies pay for what they cover?Consumers rarely care about health-care prices beyond what they personally pay for deductibles,co-payments and prescription drugs.But insurance payments are crucial to understanding why health-care prices have gotten so out of control in the United States.A new study published in JAMA Internal Medicine makes this abundantly clear:Hospital emergency departments across the country are prone to excessively overcharge patients with private insurance,the study found,demanding that patients pay-on average-more than four times what Medicare pays for typical emergency procedures.This is not the heritage of sound medicine.This is the outcome of an extremely complicated and disjointed health-care system-and it's not necessarily the result of greedy hospitals trying to milk large profits out of vulnerable populations.Instead,it's the result of messy provider networks-rife with discounts and confusing contracts,designed by insurance companies and providers to attract customers.There are policy solutions to correct this system.Maryland,for example,has long operated under an"all-payer system"in which everyone pays the same rate for the same treatment-set by an independent state agency.Under this system,Medicare pays higher rates for care than in other states,but in the long run,it saves money-to the tune of$319 million-because the payment system incentivizes hospitals to reduce the number of people they admit.In other words,it encourages payment for quality of care,not quantity.Health-care providers have an incentive to work more closely with nursing facilities to deliver preventive care.Physicians also work more closely with patients to reduce preventable complications and hospital readmissions,which have dropped in Maryland faster than the national average in recent years.This innovative approach to solving price disparities in health-care costs is refreshing,although what works in Maryland might not work everywhere else.But other states have also passed laws to reduce price variation in health care,particularly for uninsured and low-income patients who would be most harmed by surprise medical bills.Unfortunately,reform efforts led by Republicans in Congress will likely worry the health-care industry enough to threaten state-led initiatives.Uncertainty-especially in terms of what our insurance markets will look like a year from now-makes it difficult,if not impossible,for states to experiment with different policies.That's a shame,because that's where the exciting and innovative reforms are happening.
Which of the following would be the best title for the text?A.Uncertainty in the Health-Care Industry
B."All-Payer System"in Maryland
C.The Health-Care Reform Ignored
D.Medicare vs.Private Insurance
考题
Text 2 As lawmakers fight over what conditions insurance companies should be required to cover,other areas of health-care reform remain painfully neglected.One major example:How much should insurance companies pay for what they cover?Consumers rarely care about health-care prices beyond what they personally pay for deductibles,co-payments and prescription drugs.But insurance payments are crucial to understanding why health-care prices have gotten so out of control in the United States.A new study published in JAMA Internal Medicine makes this abundantly clear:Hospital emergency departments across the country are prone to excessively overcharge patients with private insurance,the study found,demanding that patients pay-on average-more than four times what Medicare pays for typical emergency procedures.This is not the heritage of sound medicine.This is the outcome of an extremely complicated and disjointed health-care system-and it's not necessarily the result of greedy hospitals trying to milk large profits out of vulnerable populations.Instead,it's the result of messy provider networks-rife with discounts and confusing contracts,designed by insurance companies and providers to attract customers.There are policy solutions to correct this system.Maryland,for example,has long operated under an"all-payer system"in which everyone pays the same rate for the same treatment-set by an independent state agency.Under this system,Medicare pays higher rates for care than in other states,but in the long run,it saves money-to the tune of$319 million-because the payment system incentivizes hospitals to reduce the number of people they admit.In other words,it encourages payment for quality of care,not quantity.Health-care providers have an incentive to work more closely with nursing facilities to deliver preventive care.Physicians also work more closely with patients to reduce preventable complications and hospital readmissions,which have dropped in Maryland faster than the national average in recent years.This innovative approach to solving price disparities in health-care costs is refreshing,although what works in Maryland might not work everywhere else.But other states have also passed laws to reduce price variation in health care,particularly for uninsured and low-income patients who would be most harmed by surprise medical bills.Unfortunately,reform efforts led by Republicans in Congress will likely worry the health-care industry enough to threaten state-led initiatives.Uncertainty-especially in terms of what our insurance markets will look like a year from now-makes it difficult,if not impossible,for states to experiment with different policies.That's a shame,because that's where the exciting and innovative reforms are happening.
The wide variation in health-care prices is mainly caused by_____A.the vulnerable populations
B.the greedy hospitals
C.differences in treatment preferences
D.the disorganized provider networks
考题
Text 2 As lawmakers fight over what conditions insurance companies should be required to cover,other areas of health-care reform remain painfully neglected.One major example:How much should insurance companies pay for what they cover?Consumers rarely care about health-care prices beyond what they personally pay for deductibles,co-payments and prescription drugs.But insurance payments are crucial to understanding why health-care prices have gotten so out of control in the United States.A new study published in JAMA Internal Medicine makes this abundantly clear:Hospital emergency departments across the country are prone to excessively overcharge patients with private insurance,the study found,demanding that patients pay-on average-more than four times what Medicare pays for typical emergency procedures.This is not the heritage of sound medicine.This is the outcome of an extremely complicated and disjointed health-care system-and it's not necessarily the result of greedy hospitals trying to milk large profits out of vulnerable populations.Instead,it's the result of messy provider networks-rife with discounts and confusing contracts,designed by insurance companies and providers to attract customers.There are policy solutions to correct this system.Maryland,for example,has long operated under an"all-payer system"in which everyone pays the same rate for the same treatment-set by an independent state agency.Under this system,Medicare pays higher rates for care than in other states,but in the long run,it saves money-to the tune of$319 million-because the payment system incentivizes hospitals to reduce the number of people they admit.In other words,it encourages payment for quality of care,not quantity.Health-care providers have an incentive to work more closely with nursing facilities to deliver preventive care.Physicians also work more closely with patients to reduce preventable complications and hospital readmissions,which have dropped in Maryland faster than the national average in recent years.This innovative approach to solving price disparities in health-care costs is refreshing,although what works in Maryland might not work everywhere else.But other states have also passed laws to reduce price variation in health care,particularly for uninsured and low-income patients who would be most harmed by surprise medical bills.Unfortunately,reform efforts led by Republicans in Congress will likely worry the health-care industry enough to threaten state-led initiatives.Uncertainty-especially in terms of what our insurance markets will look like a year from now-makes it difficult,if not impossible,for states to experiment with different policies.That's a shame,because that's where the exciting and innovative reforms are happening.
We can learn that"all-payer system"in Maryland_____A.can be applied across the country
B.is harmful to Medicare patients
C.benefits uninsured and low-income patients
D.shifts doctors'attention from treatment to prevention
考题
Text 2 As lawmakers fight over what conditions insurance companies should be required to cover,other areas of health-care reform remain painfully neglected.One major example:How much should insurance companies pay for what they cover?Consumers rarely care about health-care prices beyond what they personally pay for deductibles,co-payments and prescription drugs.But insurance payments are crucial to understanding why health-care prices have gotten so out of control in the United States.A new study published in JAMA Internal Medicine makes this abundantly clear:Hospital emergency departments across the country are prone to excessively overcharge patients with private insurance,the study found,demanding that patients pay-on average-more than four times what Medicare pays for typical emergency procedures.This is not the heritage of sound medicine.This is the outcome of an extremely complicated and disjointed health-care system-and it's not necessarily the result of greedy hospitals trying to milk large profits out of vulnerable populations.Instead,it's the result of messy provider networks-rife with discounts and confusing contracts,designed by insurance companies and providers to attract customers.There are policy solutions to correct this system.Maryland,for example,has long operated under an"all-payer system"in which everyone pays the same rate for the same treatment-set by an independent state agency.Under this system,Medicare pays higher rates for care than in other states,but in the long run,it saves money-to the tune of$319 million-because the payment system incentivizes hospitals to reduce the number of people they admit.In other words,it encourages payment for quality of care,not quantity.Health-care providers have an incentive to work more closely with nursing facilities to deliver preventive care.Physicians also work more closely with patients to reduce preventable complications and hospital readmissions,which have dropped in Maryland faster than the national average in recent years.This innovative approach to solving price disparities in health-care costs is refreshing,although what works in Maryland might not work everywhere else.But other states have also passed laws to reduce price variation in health care,particularly for uninsured and low-income patients who would be most harmed by surprise medical bills.Unfortunately,reform efforts led by Republicans in Congress will likely worry the health-care industry enough to threaten state-led initiatives.Uncertainty-especially in terms of what our insurance markets will look like a year from now-makes it difficult,if not impossible,for states to experiment with different policies.That's a shame,because that's where the exciting and innovative reforms are happening.
The study in JAMA Internal Medicine is mentioned to illustrate that_____A.insurance payments push up health-care prices
B.prices in health care are soaring out of control
C.Medicare is more efficieni than private insurance
D.lawmakers fight in the wrong direction
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The best title for this passage is_______.A.Part-time jobs
B.American college
C.Popular activity
D.A new system
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Which of the following are the FIRST actions to take when an administrator is troubleshooting aserver?（）A、Make one change at a time and test/confirm the change has resolved the problem.B、Verify full system functionality.C、Replicate the problem.D、Determine if a common element is causing multiple problems.E、Identify any changes to the server.
考题
When debugging a routing problem, the time-to-live (TTL) value can be used to determine:（）A、Number of routes available.B、Number of router hops.C、Time that an advertised route is valid.D、Time to make a round trip.
考题
When implementing a solution to a problem， which of the following is the BEST course of action to take？（）A、 Replace all components simultaneously to ensure that the system is functional.B、 Replace all hardware associated with the problem first to eliminate the possibility of hardware and move onto software.C、 Purchase new parts for the system to confirm that they function.D、 Implement one change at a time， reversing the change if it has not resolved the problem.
考题
A system administrator receives a new server and has booted the system for the first time. The administrator has set up the terminals and users. The user start to log on. Root is logged in on the console. When additional users start to log in, an error is displayed stating that All available login sessions are in use. Which of the following steps should be followed to resolve this problem?（）A、Permissions on /etc/security were changed in error; do a chmod 755 on /etc/security directory.B、Increase the number of licenses; using smit chaili censeC、Change the Maximum number of PROCESSES allowed per user variable; using smit chgsys.D、Change User can logi field from false to true: using smit chuser.
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Which of the following are true about WebSphere Commerce Payments cassettes？（）A、The site does not need a cassette， unless the site requires real-time credit card validation.B、A cassette is a piece of plug-in software that provides support for a specific payment system.C、The CyberCash cassette is installed by default， with the installation of WebSphere Commerce Payments.D、Third party companies can create custom cassettes that will work with WebSphere Commerce Payments.E、Cassettes convert the merchant payment request to the payment protocol of the local payment system.
考题
A system administrator has just applied an update to an AIX system to correct a problem, The APAR number is IX49035 and was shipped as part of the PTF number U437542. After applying the APAR fix, the administrator wants to ensure that the fix is applied before informing the system users of the corrected problem. Which of the following commands should the system administrator run to verify that the APAR fix has been applied to the system?（）A、lslpp -f IX49035B、lslpp -fB U437542C、instfix -f IX49035D、instfix -ik IX49035
考题
单选题Purging air from a hydraulic system is necessary when（）A
adding small amounts of oil to the systemB
the system has been overheatedC
the system has been drained and then filled with new oilD
the system has been idle for a long period of time
考题
单选题When the farmers visited the city for the first time, they were _____ by its complicated traffic system.A
evokedB
bewilderedC
divertedD
undermined
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单选题Once a political system has been corrupted right from the very top leaders to the lowest ranks of the government, the problem is very complicated.A
rottenB
disintegratedC
boiledD
spoiled
考题
单选题When implementing a solution to a problem， which of the following is the BEST course of action to take？（）A
Replace all components simultaneously to ensure that the system is functional.B
Replace all hardware associated with the problem first to eliminate the possibility of hardware and move onto software.C
Purchase new parts for the system to confirm that they function.D
Implement one change at a time， reversing the change if it has not resolved the problem.
考题
单选题When implementing a solution to a problem, which of the following is the BEST course of action to take?（）A
Replace all components simultaneously to ensure that the system is functional.B
Replace all hardware associated with the problem first to eliminate the possibility of hardware and move onto softwareC
Purchase new parts for the system to confirm that they function.D
Implement one change at a time, reversing the change if it has not resolved the problem.
考题
单选题The medical board, concerned by the drop in insurance payments and the failure of the accounting department to obtain the anticipated funds, resolved to pursue legal action against the insurance company.A
concerned by the drop in insurance payments and the failure of the accounting department to obtainB
concerning the drop in payments by insurance and the failure of the accounting department to obtainC
because of its concern for the dropping insurance payments and the accounting department’s failure at obtainingD
in its concern that the drop in insurance payments and the failure of the accounting department to obtainE
being concerned about the drop in insurance payments and the accounting department falling to obtain
考题
多选题Which of the following are the FIRST actions to take when an administrator is troubleshooting aserver?（）AMake one change at a time and test/confirm the change has resolved the problem.BVerify full system functionality.CReplicate the problem.DDetermine if a common element is causing multiple problems.EIdentify any changes to the server.
考题
单选题What is the problem with Premier’s present IT system? A
It is very complicated to operate.B
It frequently breaks down.C
It is very slow.
考题
单选题It has been quite a long time _____ the two companies established a business relationship.A
althoughB
becauseC
ifD
since
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