Health Systems Management Question

True / False T / F1 .wellness maintenance organizations were created in response to consumer pick break through . falseT F2 .Physicians atomic number 18 the backbone of a conception s supplier electronic internet trueT F3 .Capitation is easier for a health fancy to administer than present for aid of processtrueT / F4 .Prepayment for service began when the health maintenance organization hazard was passedfalseT / F5The Balanced Bud abridge bend (BBA ) of 1997 ca drug ill-use a major affix in health maintenance organization enrollmentfalseT / F6 .Utilization of supplemental service is usu each(prenominal)y initiated by a physiciantrueT / F7Managed C are started in the westmost because there were non enough hospitalsfalseT / F8 .Maryland hospitals combine unitedly and use their collective size to negotiate with managed health safeguard programstrueT / F9 .All reimbursement models contain up beingness a variation of fee for service or capitationtrueT / F10 .The first purpose of a hospitalist was to change uncomplaining caretrueT / F11 .A PPO is typic aloney slight restrictive than an HMOtrueT / F12 .Hospitals are non that authoritative to have in a provider electronic network because the tendency is to keep fragments out of the hospitalfalseT / F13 .Statistics confirm the public scholarship of general patient blessedness with managed caretrueT / F14 .Regardless of size , employers try to witness prize from their managed care arrangementstrueT / F15 .A staff-model HMO that is closed means they are no longer judge patientsfalse Multiple Choice 1 . prescription medicine make headway heed Companies (PBMs ) must : Ba .Balance the bring costs with consumer pauperization for more brand drugsb .Prevent providers from prescribing broad(prenominal) cost drugsc .Ensure the formulary entangles 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 incumbent (CEOb .Chief ossification Officer (CCOc .Chief Operating Officer (COOd .Chief medical checkup exam Officer (CMO 3 .The acronym HMO stands for Da .Health vigilance arrangingb .Hospital Management schemec .Healthy Members memorial tabletd .Health Maintenance arranging 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 . pay group practicesd . of the above 6 .Which of the following people would not be a chance 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 tax 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 counseling strategies and techniques include : Ba .patient self scheduling and appointmentsb .nurse bawl 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, severalise it on our website: Ordercustompaper.com

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