A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?

Question

a. Managed care insures full coverage of health care costs.
b. Managed care only assumes the financial risk involved.
c. Managed care allows providers to focus on illness care.
d. Managed care causes providers to focus on prevention.

Answer 1

ANS: D
Managed care describes health care systems in which the provider or the health care system receives a predetermined capitated (fixed amount) payment for each patient enrolled in the program. Therefore, the focus of care shifts from individual illness care to prevention, early intervention, and outpatient care. The actual cost of care is the responsibility of the provider. The managed care organization (provider) assumes financial risk, in addition to providing patient care.