Health Systems Management Question

True / False T / F1 .health maintenance organizations were created in retort to consumer pick out . falseT F2 .Physicians are the backbone of a fancy s provider electronic mesh topology trueT F3 .Capitation is easier for a health scheme to administer than requital for assistance of processtrueT / F4 .Prepayment for service began when the health maintenance organization personation was passedfalseT / F5The Balanced Bud aim Act (BBA ) of 1997 ca drug abuse a major increase in HMO enrollmentfalseT / F6 .Utilization of assistant service is usually initiated by a physiciantrueT / F7Managed Care started in the westmost because there were non enough hospitalsfalseT / F8 .Maryland hospitals combine in concert and use their collective size to negotiate with managed health premeditation planstrueT / F9 .All reimbursement models contain up being a variation of fee for service or capitationtrueT / F10 .The original purpose of a hospitalist was to remedy uncomplaining caretrueT / F11 .A PPO is typically less restrictive than an HMOtrueT / F12 .Hospitals are non that authoritative to have in a provider network because the tendency is to keep fragments out of the hospitalfalseT / F13 .Statistics confirm the public knowledge of general patient satisfaction with managed caretrueT / F14 .Regardless of size , employers try to pop 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 postgraduate cost drugsc .Ensure the formulary includes all the newest drugsd .Answer member questions about their prescriptions 2 .Who has final respons ibility for all aspects of the HMO organizat! ion ? aa .Chief executive Officer (CEOb .Chief ossification Officer (CCOc .Chief Operating Officer (COOd .Chief checkup exam Officer (CMO 3 .The acronym HMO stands for Da .Health trouble arrangingb .Hospital Management schemec .Healthy Members governing bodyd .Health Maintenance Organization 4 .

The acronym EPO stands for Ba .Employed provider Organizationb .Exclusive Provider Organizationc .Enabled Physician Organizationd .Equity Provider Organization 5 . forward-moving to the 1970s , HMOs were known as : Da .point-of-service programsb .referred provider organizationsc . prepay group practicesd . of the above 6 .Which o f 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 revenue enhancement 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 commission strategies and techniques include : Ba .patient self plan 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: OrderCustomPaper.com

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