Charlotte has been suffering from severe migraine headaches that are causing her to visit her HMO almost weekly. This has been going on for two months, and Charlotte is still losing many workdays due to illness. The HMO has given Charlotte's medical file to a reviewer to examine her symptoms, treatment plan, medication, medical history, etc. This is called _____.

Question

Quizplus · Accepted Answer

The process described in the scenario is known as case management, which involves assessing and coordinating a patient's care to ensure optimal health outcomes while also controlling costs. The HMO is taking a proactive approach to managing Charlotte's migraine headaches by having a reviewer examine her medical file to ensure she is receiving appropriate treatment and medication. This approach can help reduce unnecessary medical expenses and improve patient outcomes. The other options, such as cost containment action, standard practice, price control, and medical malpractice review, are not applicable to this scenario.

Charlotte Has Been Suffering from Severe Migraine Headaches That Are