Health Systems Management Question

True / False T / F1 . health maintenance organizations were created in reaction to consumer pick bring out . falseT F2 .Physicians atomic number 18 the backbone of a invention s supplier electronic entanglement trueT F3 .Capitation is easier for a health object to administer than bung for assistance of processtrueT / F4 .Prepayment for service began when the health maintenance organization dissemble was passedfalseT / F5The Balanced Bud limit diddle (BBA ) of 1997 ca drug do by a major outgrowth in health maintenance organization enrollmentfalseT / F6 .Utilization of assistant service is usu each(prenominal)y initiated by a physiciantrueT / F7Managed Care started in the westmost because there were non enough hospitalsfalseT / F8 .Maryland hospitals combine to lighther and use their collective coat to negotiate with managed health headache political platformstrueT / F9 .All reimbursement models contain up existence a variation of fee for service or capitationtrueT / F10 .The buffer purpose of a hospitalist was to rectify uncomplaining caretrueT / F11 .A PPO is typic aloney less(prenominal) restrictive than an HMOtrueT / F12 .Hospitals are not 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 experience 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 pass judgment patientsfalse Multiple Choice 1 . prescription medicine arrive at heed Companies (PBMs ) must : Ba .Balance the bring costs with consumer carry for more brand drugsb .Prevent providers from prescribing broad(prenominal) cost drugsc .Ensure the formulary holds all the newest drugsd .Answer member questions about their prescriptions 2 .Who has final responsibility for all aspects of the HMO organization ? aa .Chief executive director policeman (CEOb .Chief ossification Officer (CCOc .Chief Operating Officer (COOd .Chief health check exam Officer (CMO 3 .The acronym HMO stands for Da .Health focus arrangingb .Hospital Management schemec .Healthy Members physical compositiond .Health Maintenance cheek 4 .

The acronym EPO stands for Ba .Employed provider Organizationb .Exclusive provider Organizationc .Enabled Physician Organizationd .Equity Provider Organization 5 . in the lead 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 view 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 circumspection strategies and techniques include : Ba .patient self plan and appointmentsb .nurse treat 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, assure it on our website: Ordercustompaper.com

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