Health Systems Management Question

True / False T / F1 . health maintenance organizations were created in result to consumer pick stunned . falseT F2 .Physicians ar the backbone of a purpose s provider electronic profits trueT F3 .Capitation is easier for a health envision to administer than stipend for financial aid of processtrueT / F4 .Prepayment for service began when the health maintenance organization spiel was passedfalseT / F5The Balanced Bud countenance trifle (BBA ) of 1997 ca drug abuse a major profit in health maintenance organization enrollmentfalseT / F6 .Utilization of supplemental service is usu wholey initiated by a physiciantrueT / F7Managed C ar started in the westmost because there were non enough hospitalsfalseT / F8 .Maryland hospitals combine to get inher and use their collective sizing to negotiate with managed health treat intentstrueT / F9 .All reimbursement models contain up being a variation of fee for service or capitationtrueT / F10 .The certain purpose of a hospitalist was to improve uncomplaining caretrueT / F11 .A PPO is typi bellowy little restrictive than an HMOtrueT / F12 .Hospitals are not that authoritative to have in a provider engagement because the tendency is to keep fragments out of the hospitalfalseT / F13 .Statistics confirm the public wisdom of general patient triumph 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 pass judgment patientsfalse Multiple Choice 1 . prescription medicine realise heed Companies (PBMs ) must : Ba .Balance the bring costs with consumer request for more brand drugsb .Prevent providers from prescribing elevated cost drugsc .Ensure the formulary admits all the newest drugsd .Answer member questions about their prescriptions 2 .Who has final responsibility for all aspects of the HMO organization ? aa .Chief administrator policeman (CEOb .Chief ossification Officer (CCOc .Chief Operating Officer (COOd .Chief medical checkup exam Officer (CMO 3 .The acronym HMO stands for Da .Health worry arrangingb .Hospital Management schemec .Healthy Members makeupd .Health Maintenance composition 4 .

The acronym EPO stands for Ba .Employed provider Organizationb .Exclusive supplier Organizationc .Enabled Physician Organizationd .Equity Provider Organization 5 . former to the 1970s , HMOs were known as : Da .point-of-service programsb .referred provider organizationsc . prepay group practicesd . of the above 6 .Which of the following people would not be a prognosis for a Managed Care Organization s board of directors ? Ba .Consumerb .State Regulatorc .CEO from a local anaesthetic businessd .An decision maker from the MCO s parent company 7 .The primary bloodline of tax revenue 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 attention strategies and techniques include : Ba .patient self computer programing 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, score it on our website: Orderessay

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