Text 2 As lawmakers fight over what cond

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问题 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 countryB.is harmful to Medicare patientsC.benefits uninsured and low-income patientsD.shifts doctors'attention from treatment to prevention

选项 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

答案 C

解析 [信息锁定]根据题干关键词定位至第四五段。其中笫四段②句指出:马里兰州实施“相同治疗.相同费用”的统一收费模式;第五段②句指出:其他各州也在通过相关立法来减少医疗费用差异,尤其是针对那些因意外医疗账单而深受伤害的未投保患肴及低收入患者。由此可知,马里兰州统一支付方模式也有助于未投保患者及低收入患者.C.正确。[解题技巧]A.与第五段首句“这种模式虽令人耳目一新.但不一定适用于其他地方”相悖。B.源自第四段③句前半句“这种模式下联邦医疗保险所付费用高于其他各州”.但与后半句转折指出“但从长远看,这种方式可以省饯”及④句“重视治疗质量而非数量”的相悖。D.将第四段⑤⑥句暗藏文意“这一模式鼓励医生更注意预防”|iI1解为“这一模式使医生将注意力由治病转移到预防上”。
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