What Is Managed Care?
Has an organized physician staff
Managed care is a mechanism of providing health care services
An institution with at least six beds and that delivers diagnostic and therapeutic services for medical conditions
Provide continuous nursing service under RNS
The Correct Answer is B
Rationale:
A. Has an organized physician staff: This describes one characteristic of managed care organizations (MCOs), but it does not fully define managed care itself.
B. Managed care is a mechanism of providing health care services: Managed care refers to a system or approach to healthcare delivery that aims to manage and coordinate healthcare services
to improve quality, control costs, and optimize outcomes. It involves mechanisms such as provider networks, utilization management, and financial incentives to achieve these goals.
C. An institution with at least six beds and that delivers diagnostic and therapeutic services for medical conditions: This describes a hospital rather than managed care.
D. Provide continuous nursing service under RNS: This describes a specific nursing service and is not a comprehensive definition of managed care.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Private businesses: While private businesses play a significant role in healthcare delivery, they are not the single most dominant force.
B. Higher levels of services: This option is vague and does not specifically identify a dominant force in healthcare delivery.
C. Virtual organizations: Virtual organizations may be an emerging trend in healthcare delivery, but they are not currently the single most dominant force.
D. Managed care: Managed care, including health maintenance organizations (HMOs), preferred provider organizations (PPOs), and accountable care organizations (ACOs), has significantly
influenced healthcare delivery in the United States by emphasizing cost containment, quality
improvement, and coordination of care. As such, it is considered the single most dominant force in U.S. healthcare delivery.
Correct Answer is B
Explanation
Rationale:
A. The national debt: While the national debt may influence policy decisions, including healthcare reform initiatives, it is not as directly linked to healthcare as demographic trends.
B. Demographic trends: Historical observations suggest that changes in population
demographics, such as aging populations, shifts in racial and ethnic composition, and changes in family structures, have significant implications for healthcare needs and delivery. These trends often drive policy discussions and reform initiatives to address evolving healthcare demands.
C. Political ideology: Political ideology certainly plays a role in shaping healthcare policies and reforms, but it is often influenced by demographic trends and other factors.
D. Global challenges: Global challenges, such as pandemics or emerging infectious diseases, can impact healthcare systems and may lead to specific policy responses, but they are not as consistent determinants of health reform initiatives as demographic trends.
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