How are payments to health care providers determined under a managed care system? By the
A)Government
B)Market
C)Insurance company and the provider
D)Provider and the consumer
E)AMA (American Medical Association)

Question

Quizplus · Accepted Answer

Under a managed care system, the insurance company and the provider negotiate payment rates and establish a contract for services. This helps to control costs and ensure that services are being provided efficiently. It is based on the agreement between the provider and the insurance company rather than being determined by the government or market forces. The AMA does not have a direct role in determining payment rates under managed care. The provider and consumer may have some input, but ultimately it is the provider and insurance company who set the payment rates.

How Are Payments to Health Care Providers Determined Under a Managed