Carve outs are health care services that will not be paid by MCOs which could include experimental treatment, drug costs and behavioral health costs.
Correct Answer:
Verified
Q12: Increasing numbers of states (16 in 2012)are
Q13: The Affordable Care Act of 2010 mandates
Q14: Practice profiling is a type of employee
Q15: If a physician is an employee of
Q16: The Independent Practice Association (IPA)is a type
Q18: A fee for service (FFS)system was the
Q19: Prospective utilization review is:
A)Decisions that are being
Q20: Managed care refers to the cost management
Q21: When Medicare pays pay a premium per
Q22: Since the late 1980s, which organization has
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