The managed behavioral health care organization nurse speaking to a group of employers concerned
about health care costs should explain
that new strategies designed to decrease the high cost of
inpatient treatment include (more than one answer may be correct)
A. milieu therapy.
B. shortened in-patient stays.
C. introduction of nurse practitioners.
D. development of new levels of outpatient care.
ANS: B, C, D
Rationale: Hospital stays have been shortened or denied on the basis of external oversight and
written criteria to approve or deny requests for treatment. New levels of outpatient care such as
partial hospitalization programs, intensive outpatient treatment, home care, and school-based
services have been introduced. The use of nurse practitioners with admitting privileges, prescriptive
privileges, and consultative skills has also been instrumental in moderating health care costs. Option
A: Milieu therapy, although useful, is not a new strategy developed to reduce cost.
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Fill in the blank(s) with the appropriate word(s).
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