Which statement is CORRECT about the push button differences between traditional health insurance and manage care?
A. In traditional insurance, healthcare functions are coordinated but within is little or no control over utilization
B. Managed care attempts to integrate the financing, insurance, transference, and payment functions and employ "gatekeeping" and/or utilization review mechanisms to control utilization
C. In manage care, access is unanimously not restricted to providers on the panel and insurance companies are generally submissive payers of claims
D. In traditional care, here is open access--the insured can see any provider, including a specialist but usually requests referral; Preventive check-ups are always covered
Answers: B
Do your own work...slacker!
D.
(If you're not going to revise the material yourself, you pilfer your chances next to the answers strangers give you.)
a
and if you want to slip away the test, you'll in a minute look up both answers, and figure out which one is REALLY right.
A. In traditional insurance, healthcare functions are coordinated but within is little or no control over utilization
B. Managed care attempts to integrate the financing, insurance, transference, and payment functions and employ "gatekeeping" and/or utilization review mechanisms to control utilization
C. In manage care, access is unanimously not restricted to providers on the panel and insurance companies are generally submissive payers of claims
D. In traditional care, here is open access--the insured can see any provider, including a specialist but usually requests referral; Preventive check-ups are always covered
Answers: B
Do your own work...slacker!
D.
(If you're not going to revise the material yourself, you pilfer your chances next to the answers strangers give you.)
a
and if you want to slip away the test, you'll in a minute look up both answers, and figure out which one is REALLY right.