Which type of managed care organization has the strictest cost control features? a. PPO b. POS...
Which type of managed care organization has the strictest cost control features?
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Homework Answers
The answer is option c- Closed-panel HMO
Closed-panel HMO is a managed care organization has the strictest cost control features
Add Answer to:
Which type of managed care organization has the strictest cost
control features?
a. PPO
b. POS...
what is an HMO plan and how does it differ from PPO and POS plans in managed care organizations?
what is an HMO plan and how does it differ from PPO and POS plans in managed care organizations?
Question 8 1 pts Discharge planning is associated with which type of utilization review? (Level 2)...
Question 8 1 pts Discharge planning is associated with which type of utilization review? (Level 2) a. Concurrent b. Prospective c. Gatekeeping d. Retrospective 1 pts Question 7 1 pts In which of the following plans can an MCO lose a large number of physicians if a contract is lost? (Level 1) a. POS plans b. PPO plans c. HMO group model plans d. HMO IPA model plans e. None of the above D Question 5 1 pts According to...
Hello there could you please answer to this question. CHAPTER 16 Basics of Health Insurance 315...
Hello there could you please answer to this question.
CHAPTER 16 Basics of Health Insurance 315 of different at a fixed have sepa association thcare pro providers er fee-for- 5. Rather ae HMO nt's PCP with the annually the cost Preferred Provider Organization APPO is a managed care nework that contracts with a group of providers the providers are on a predetermined list of charges for all services, including those for both normal and complex proce- dures. The PPO model...
Question 16 1 pts Self-funded programs and HMO are basically the same True False Question 17...
Question 16 1 pts Self-funded programs and HMO are basically the same True False Question 17 1 pts Which of the following factors drives health care cost the most Environment None of the listed Lifestyle Genetics Question 18 1 pts Medicare Part C is called Medicare Advantage (Medicare Managed Care, or Medicare HMO) and covers Part A Part B, and Part D. True False D Question 19 1 pts Kaiser HMO contracts exclusively with Kaiser Permanente Medical Group is called...
Multiple Choice The type of medical practice in which one physician may employ other 16. physicians...
Multiple Choice The type of medical practice in which one physician may employ other 16. physicians is called solo practice. a. flashcar roviders b. sole proprietorship. 1 Клорг c. EPO. d. HMO. In a partnership practice, 17. there must be at least four partners. a. the ag b. there must be at least three partners. the partners are not responsible for the actions of the other employees. each of the partners is responsible for the actions of all other partners....
Comparing Private Insurance P Alison purchases health insurance coverage for herself and her spouse. This is...
Comparing Private Insurance P Alison purchases health insurance coverage for herself and her spouse. This is an example of a group urance plan Indemnity, or fee-for-service, plans and managed care plans cover medical expenses if you are sick or injured, but in different ways. The following questions examine the general differences between the two plans. Taking a closer look at how these plans provide coverage will help you begin to customize a health care plan that best suits your requirements....
Which Medicare plan includes HMOs? Part D Part C Part A Which insurance plan is not...
Which Medicare plan includes HMOs? Part D Part C Part A Which insurance plan is not dependent on income? Medicare SCHIP Medicaid Which of the following is a classification and nomenclature system that may be used to calculate reimbursement? Negotiated Fees DRG Capitation Fee for service Which type of managed care plan is exclusively for an organization's employees? PPO EPO POS
A Health Maintenance Organization (HMO) is a type of health insurance plan that a. You will...
A Health Maintenance Organization (HMO) is a type of health insurance plan that a. You will receive most or all of your care through a provider network b. You must choose a PCP c. Covers care both inside and outside the plans provider network d. a and b
BlueCross BlueShield is: a. A managed care organization b. An association of private companies c. Funded...
BlueCross BlueShield is: a. A managed care organization b. An association of private companies c. Funded by the federal government d. Funded by all 50 states
4. KEY TERMS Multiple Choice Circle the letter of the choice that best matches the definition...
4. KEY TERMS Multiple Choice Circle the letter of the choice that best matches the definition or answers the question 1. A list of the medical services covered by an insurance policy C. Noncovered services D. Fee-for-service A. Health care claim B. Schedule of benefits 2. Health plans are often referred to as: C. Providers D. Payers A. Policyholders B. Subscribers managed care network of providers under contract to provide services at discounted fees. A. Health Maintenance Organization (HMO) B....
Question 8 1 pts Discharge planning is associated with which type of utilization review? (Level 2) a. Concurrent b. Prospective c. Gatekeeping d. Retrospective 1 pts Question 7 1 pts In which of the following plans can an MCO lose a large number of physicians if a contract is lost? (Level 1) a. POS plans b. PPO plans c. HMO group model plans d. HMO IPA model plans e. None of the above D Question 5 1 pts According to...
Hello there could you please answer to this question.
CHAPTER 16 Basics of Health Insurance 315 of different at a fixed have sepa association thcare pro providers er fee-for- 5. Rather ae HMO nt's PCP with the annually the cost Preferred Provider Organization APPO is a managed care nework that contracts with a group of providers the providers are on a predetermined list of charges for all services, including those for both normal and complex proce- dures. The PPO model...
Question 16 1 pts Self-funded programs and HMO are basically the same True False Question 17 1 pts Which of the following factors drives health care cost the most Environment None of the listed Lifestyle Genetics Question 18 1 pts Medicare Part C is called Medicare Advantage (Medicare Managed Care, or Medicare HMO) and covers Part A Part B, and Part D. True False D Question 19 1 pts Kaiser HMO contracts exclusively with Kaiser Permanente Medical Group is called...
Multiple Choice The type of medical practice in which one physician may employ other 16. physicians is called solo practice. a. flashcar roviders b. sole proprietorship. 1 Клорг c. EPO. d. HMO. In a partnership practice, 17. there must be at least four partners. a. the ag b. there must be at least three partners. the partners are not responsible for the actions of the other employees. each of the partners is responsible for the actions of all other partners....
Comparing Private Insurance P Alison purchases health insurance coverage for herself and her spouse. This is an example of a group urance plan Indemnity, or fee-for-service, plans and managed care plans cover medical expenses if you are sick or injured, but in different ways. The following questions examine the general differences between the two plans. Taking a closer look at how these plans provide coverage will help you begin to customize a health care plan that best suits your requirements....
4. KEY TERMS Multiple Choice Circle the letter of the choice that best matches the definition or answers the question 1. A list of the medical services covered by an insurance policy C. Noncovered services D. Fee-for-service A. Health care claim B. Schedule of benefits 2. Health plans are often referred to as: C. Providers D. Payers A. Policyholders B. Subscribers managed care network of providers under contract to provide services at discounted fees. A. Health Maintenance Organization (HMO) B....
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