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poizon [28]
3 years ago
14

What is the difference between excluded services and services that are not reasonable and necessary?

Business
1 answer:
Kitty [74]3 years ago
8 0
Excluded services are those services which health insurance companies do not pay for. Those services may be needed or necessary but they are not covered by the health insurance plan and the person concerned will have to pay for the service himself. Services that are not reasonable or necessary refer to those services which are not deem necessary in the treatment of a patient.
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Asarta Inc. is polluting into a nearby fishing stream; doing so benefits them $40,000 a year. The fishermen are unhappy as their
IceJOKER [234]

Answer:

a. Asarta Inc. could pay the fishermen $8,500 and keep polluting  

Explanation:

The fishermen sell the fish for $8,000 a year at local market.

Due to pollution emitted by company into stream, their catch is dwindling and also their income.

The company benefits from usage of stream to the tune of $4,000 a year.  In such scenario, if company compensates the fishermen for any amount between $8,000 and $40,000 then, in that case, optimal solution to the problem can be achieved in absence of any other transaction cost as per the Coase Theorem.

Therefore, The Asarta Inc. could pay the fishermen $8,500 and keep polluting.

4 0
3 years ago
Chris and Jordan are a two-person household. Chris's market hourly wage is $40, but Chris can also produce $20 of household prod
andrezito [222]

Answer:

A. Jordan specializes in household production, while Chris specializes in marketplace work.

Explanation:

Chris and Jordan both can work for their household. The best way is to achieve maximum utility by using the combination of their skills. Chris can go for household work and Jordan can go for marketplace work. They both can use combination of their specialization to achieve maximum utility.

6 0
3 years ago
Consumers planning to buy recreational equipment tend to buy higher quality,
Nady [450]

Answer:

The answer is: B) In Boravia when the economy is strong, those who might otherwise go camping tend to take vacations overseas.

Explanation:

Usually a sustained economic growth would lead to an increase in the sales of high quality products. Hill and Dale sell high quality expensive products, so the only thing that could hurt their sales is that people don't go camping anymore. The only option that could lead to lower demand is that Boravia's economy is doing so well that its citizens can now afford to travel to other countries instead of camping.  

7 0
3 years ago
A local college of business offers an outstanding graduate business school education program. Marissa pays the tuition to attend
rewona [7]

Answer:

Yes, it was a marketing exchange

The payment made of the tuition was exchanged for the knowledge that led Marissa to the new paid and satisfactory job.

Explanation:

Given that changing means taking one thing for another, in the context of marketing, we understand by exchange relationship an act of communication where the parts involved (two or more) make the offer and reciprocally deliver something of value ( comparison with other objects) and useful (measure of the satisfaction obtained when receiving something of value) that passes to the other part.

3 0
3 years ago
Instant Access Services Inc. leases access to high-speed computers to small businesses. It provides the following information fo
Afina-wow [57]

Answer:

a. $21

b. $1,890,000

Explanation:

a. The computation of the predetermined overhead rate is shown below:

Predetermined overhead rate = (Total estimated manufacturing overhead) ÷ (estimated  computer hours)

= $2,100,000 ÷ 100,000 hours

= $21

b. Now the applied overhead which equals to

= Actual computer hours  × predetermined overhead rate

= 90,000 hours × $21

= $1,890,000

5 0
3 years ago
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