Health Systems Management Question

True / False T / F1 .health maintenance organizations were created in repartee to consumer pick out . falseT F2 .Physicians argon the backbone of a end s provider electronic web trueT F3 .Capitation is easier for a health architectural plan to administer than present for assistance of processtrueT / F4 .Prepayment for service began when the health maintenance organization turning was passedfalseT / F5The Balanced Bud mend Act (BBA ) of 1997 ca drug treat a major increase in HMO enrollmentfalseT / F6 .Utilization of accessory service is usually initiated by a physiciantrueT / F7Managed Care started in the westmost because there were non enough hospitalsfalseT / F8 .Maryland hospitals combine to liquidateher and use their collective size to negotiate with managed health forethought planstrueT / F9 .All reimbursement mod els contain up being a variation of fee for service or capitationtrueT / F10 .The original purpose of a hospitalist was to remediate uncomplaining caretrueT / F11 .A PPO is typically less restrictive than an HMOtrueT / F12 .Hospitals are not that authoritative to have in a provider network because the tendency is to keep fragments out of the hospitalfalseT / F13 .Statistics confirm the public comprehension of general patient satisfaction with managed caretrueT / F14 .Regardless of size , employers try to get prize from their managed care arrangementstrueT / F15 .A staff-model HMO that is closed means they are no longer accepting patientsfalse Multiple Choice 1 . prescription medicine Benefit heed Companies (PBMs ) must : Ba .Balance the bring costs with consumer demand for more brand drugsb .Prevent providers from prescribing graduate(prenominal) cost drugsc .Ensure the formulary includes all the newest drugsd .Answer member questions about their prescriptions 2 .Who h as final responsibility for all aspects of t! he HMO organization ? aa .Chief decision maker Officer (CEOb .Chief ossification Officer (CCOc .Chief Operating Officer (COOd .Chief health check exam Officer (CMO 3 .The acronym HMO stands for Da .Health focussing arrangingb .Hospital Management schemec .Healthy Members government activityd .Health Maintenance Organization 4 .

The acronym EPO stands for Ba .Employed provider Organizationb .Exclusive Provider Organizationc .Enabled Physician Organizationd .Equity Provider Organization 5 . out front to the 1970s , HMOs were known as : Da .point-of-service programsb .referred provider organizationsc . prepay gro up practicesd . of the above 6 .Which of the following people would not be a candidate for a Managed Care Organization s board of directors ? Ba .Consumerb .State Regulatorc .CEO from a local anaesthetic businessd .An executive from the MCO s parent company 7 .The primary bloodline of gross for a health plan is Ca . paysheet deductionsb .Capitationc .Premiumsd .Claims 8 .The least managed type of health plan is : Aa . PPOb .POS HMOc .Indemnityd . supply HMO 9 .Demand caution strategies and techniques include : Ba .patient self schedule and appointmentsb .nurse call programsc . automated call distribution (ACD ) and routingd .customer relationship management (CRM ) programs 10 .Capitation compensation pays physicians : Ca .For the number of patients seen during the month...If you want to get a full essay, order it on our website: BestEssayCheap.com

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