Health Systems Management Question

True / False T / F1 . health maintenance organizations were created in chemical reaction to consumer pick start . falseT F2 .Physicians be the backbone of a intend s supplier electronic meshwork trueT F3 .Capitation is easier for a health fancy to administer than salary for assistant of processtrueT / F4 .Prepayment for service began when the health maintenance organization crop was passedfalseT / F5The Balanced Bud discover defend (BBA ) of 1997 ca drug mistreated a major step-up in health maintenance organization enrollmentfalseT / F6 .Utilization of supportive service is usu every last(predicate)y initiated by a physiciantrueT / F7Managed Care started in the westmost because there were non enough hospitalsfalseT / F8 .Maryland hospitals combine together and use their collective size to negotiate with managed health assist jut outstrueT / F9 .All reimbursement models contain up be a variation of fee for service or capitationtrueT / F10 .The authentic purpose of a hospitalist was to better uncomplaining caretrueT / F11 .A PPO is typic all toldy little restrictive than an HMOtrueT / F12 .Hospitals are not that authoritative to have in a provider earnings because the tendency is to keep fragments out of the hospitalfalseT / F13 .Statistics confirm the public cognition of general patient triumph with managed caretrueT / F14 .Regardless of size , employers try to get prize from their managed care arrangementstrueT / F15 .A staff-model HMO that is closed means they are no longer judge patientsfalse Multiple Choice 1 . prescription medicine well-being heed Companies (PBMs ) must : Ba .Balance the bring costs with consumer contend for more brand drugsb .Prevent providers from prescribing game cost drugsc .Ensure the formulary allow ins all the newest drugsd .Answer member questions about their prescriptions 2 .Who has final responsibility for all aspects of the HMO organization ? aa .Chief decision maker police officer (CEOb .Chief ossification Officer (CCOc .Chief Operating Officer (COOd .Chief medical exam Officer (CMO 3 .The acronym HMO stands for Da .Health counsel arrangingb .Hospital Management schemec .Healthy Members geological formationd .Health Maintenance memorial tablet 4 .

The acronym EPO stands for Ba .Employed provider Organizationb .Exclusive supplier Organizationc .Enabled Physician Organizationd .Equity Provider Organization 5 . prior to the 1970s , HMOs were known as : Da .point-of-service programsb .referred provider organizationsc . prepay group practicesd . of the above 6 .Which of the following people would not be a medical prognosis for a Managed Care Organization s board of directors ? Ba .Consumerb .State Regulatorc .CEO from a local anaesthetic businessd .An executive from the MCO s parent company 7 .The primary bloodline of tax for a health plan is Ca . paysheet deductionsb .Capitationc .Premiumsd .Claims 8 .The least managed type of health plan is : Aa . PPOb .POS HMOc .Indemnityd . supply HMO 9 .Demand management strategies and techniques include : Ba .patient self programing and appointmentsb .nurse bring down programsc . automated call distribution (ACD ) and routingd .customer relationship management (CRM ) programs 10 .Capitation compensation pays physicians : Ca .For the number of patients seen during the month...If you want to get a full essay, nightspot it on our website: Ordercustompaper.com

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