Managed Care vs Traditional Insurance Quiz
5 Questions
2 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

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?

  • PPO
  • FFS
  • POS
  • HMO (correct)
  • 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)?

    <p>To incentivize physicians to focus on the quality of care and patient outcomes</p> Signup and view all the answers

    What are Advanced Alternative Payment Models (AAPMs)?

    <p>Innovative payment models that incentivize high-quality, cost-efficient care</p> Signup and view all the answers

    Study Notes

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    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.

    More Like This

    Use Quizgecko on...
    Browser
    Browser