Discuss characteristics of managed care plans as they finance and deliver health care services.

What will be an ideal response?


1.Financial incentives for enrollees to use participating providers
2. Conduct CQI
3. Perform utilization management functions
4. Active involvement regarding dispute resolution
5. Arrangements made with providers selected to provide health careĀ  services to enrollees

Health Professions

You might also like to view...

Which of the following hemodynamic alterations will occur when a patient transitions from positive-pressure breathing to spontaneous ventilation? I. Venous return increases. II. Left ventricular afterload increases. III. Right ventricular preload decreases. IV. Cardiac output decreases

A. I, II only B. I, II, III only C. I, III, IV only D. II, III, IV only

Health Professions

To type the special characters shown above the numbers on the number keys, hold down the ____________________ and press the appropriate key

Fill in the blank(s) with correct word

Health Professions

Blood glucose levels are frequently measured for patients undergoing:

A. therapeutic phlebotomy. B. donor blood collections. C. treatment for diabetes mellitus. D. blood cultures.

Health Professions

The first part of EMS research is to:

A) obtain medical director authorization. B) determine if there is adequate funding. C) identify a specific problem or question. D) determine the style of research to be used.

Health Professions