Diagnosis-related groups (DRGs) and prospective payment systems are most clearly the reason for

a. Medicare and Medicaid.
b. critical pathways and managed care.
c. group health insurance and centralization.
d. a shortage of nurses and unlicensed assistive personnel.


ANS: B
Both DRGs and prospective payment systems have resulted in cost-containment efforts by health care agencies. Managed care and critical pathways are responses to the need to contain costs. DRGs originated with Medicare. Group health insurance existed prior to DRGs and prospective payment systems. The reason for personnel shortages in health care is not as simplistic as a shortage of nurses and unlicensed assistive personnel.

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