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Questions and Answers
What is the main goal of managed care?
What is the main goal of managed care?
- To provide patients with the freedom to see any healthcare provider they choose
- To control healthcare costs and ensure appropriate care (correct)
- To operate on a flat coinsurance rate
- To pay providers based on the services rendered
Which managed care plan has the most limited provider network?
Which managed care plan has the most limited provider network?
- PPO
- FFS
- POS
- HMO (correct)
What is the main difference between PPOs and HMOs?
What is the main difference between PPOs and HMOs?
- HMOs have no physician gatekeeper
- HMOs are generally more expensive than PPOs
- PPOs have limited provider networks with some coverage for care sought outside the network (correct)
- PPOs have more stringent utilization review
What is the purpose of the Merit-Based Incentive Payment System (MIPS)?
What is the purpose of the Merit-Based Incentive Payment System (MIPS)?
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What are Advanced Alternative Payment Models (AAPMs)?
What are Advanced Alternative Payment Models (AAPMs)?
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Study Notes
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Description
Test your knowledge on managed care and traditional health insurance with this quiz. Learn about fee-for-service plans, coinsurance rates, and the freedom to choose healthcare providers. This quiz will help you understand the basics of traditional health insurance plans.
