Managed Care Plans and Healthcare Cost Control Quiz Explore key concepts of managed care plans and healthcare economics with this quiz. Test your knowledge on cost control, utilization management, and more!
#1
They emphasize preventive care and wellness programs.
They primarily focus on fee-for-service payments.
They limit access to healthcare providers.
They have no mechanisms for cost containment.
#2
To increase healthcare costs
To limit unnecessary healthcare services
To encourage overutilization of healthcare services
To reduce patient satisfaction
#3
They are not responsible for quality outcomes.
They do not coordinate care among providers.
They are accountable for the cost and quality of care for a defined population.
They do not participate in payment reform initiatives.
#4
To increase healthcare costs
To limit patient access to medications
To improve outcomes for patients with specific chronic conditions
To discourage patient education and self-management
#5
To increase medication costs
To limit patient access to medications
To improve medication adherence
To encourage unnecessary prescriptions
#6
Healthcare providers
Insurance companies
Patients
Employers
#7
By offering unlimited access to specialists
By requiring referrals from primary care physicians
By not covering preventive care services
By providing out-of-network coverage
#8
Allowing patients to bypass primary care physicians
Requiring prior authorization for all healthcare services
Limiting access to emergency services
Requiring patients to see a primary care physician before accessing specialists
#9
By increasing the number of unnecessary tests and procedures
By implementing fee-for-service reimbursement models
By offering shared savings and bonuses for meeting targets
By penalizing patients for seeking preventive care
#10
To increase costs for healthier patients
To decrease costs for sicker patients
To accurately reflect the health status of patient populations
To discourage preventive care measures
#11
To limit patients to a specific network of providers
To offer capitated payments to healthcare providers
To encourage patients to seek out-of-network care
To mandate referrals for all specialist visits
#12
HMOs offer more flexibility in provider choice than PPOs.
PPOs require referrals for specialist visits, while HMOs do not.
HMOs typically have higher out-of-pocket costs for patients compared to PPOs.
PPOs have stricter networks of providers than HMOs.
#13
To encourage unnecessary hospital admissions
To increase healthcare costs
To coordinate care for patients with complex medical needs
To limit access to specialist care
#14
By solely using fee-for-service payment structures
By eliminating the need for quality outcomes
By transitioning to value-based reimbursement models
By promoting unnecessary tests and procedures
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