What is the purpose of risk sharing with providers?
A) It makes providers immune to costs
B) It makes providers cost conscious
C) It rewards providers for quality
D) It keeps insurance premiums low
Correct Answer:
Verified
Q12: In the term, managed care, 'manage' refers
Q13: Which of the following is not used
Q14: Closed-panel plan.
A)No new physicians can be added
Q15: Prospective utilization review includes
A)precertification
B)discharge planning
C)review of medical
Q16: Gatekeeping _ secondary care services.
A)bypasses
B)encompasses the delivery
Q18: Concurrent UR in a hospital will be
Q19: Gatekeeping heavily depends on the services of
Q20: Cost-effective management of care for patients who
Q21: A network model HMO
A)employs its own network
Q22: Review of overutilization or underutilization is undertaken
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