Question

11) Which of the following types of care represent healthcare services not delivered by MCOS? (Spts) Preventive O Acute illness Chronic Experimental devices 12) All of the following functions are ways that MCOs work toward their goal of controlling cost EXCEPT: pts) Use of evidence based clinical practice guidelines Selecting providers carefully Medical necessity policies Using a gatekeeper 13) Which of the following activities are utilized as financial incentives by MCOS: Sots Medical necessity Disease management Productivity number of visits per MacBook Air caps lock

Answer 1

11) Experiemental devices, is generally not provided by the MCOs

12) use of evidence based clinical practised guidelines

13) medical necessity