An aim of managed care is to transfer some measure of financial risk to providers and to a lesser extent, to the insured. The latter is accomplished by
- imposing a financial penalty on members who use providers outside the managed care network without pre-arrangement
- requiring the use of clinical pathways
- using fee withholds
- monitoring provider practice patterns
Answer: The main aim of managed care is to transfer some measures of financial risk t provider and to the extent to insured. The latter is accomplished by imposing a financial penalty on members who use providers outside the managed care network without pre- arrangements. This can make it in the correction and enhancement of the providing care.
An aim of managed care is to transfer some measure of financial risk to providers and...
check the answers! Chapter 3 Review L = licensure Applying knowledge LO 3.1 R- Registration Write for licensure, "C" for certification, and R for registration in the space provided to indicate which is applicable in the following descriptions 1. Involves a mandatory credentialing process established by law, usually at the state level. 2 Involves simply paying a fee. 3. Involves a voluntary credentialing process, usually national in scope, most often sponsored by a private sector group. 4. Required of all...