Practice Quiz

Managed Care Nursing

Category - Overview

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A 65-year-old male has a history of gout. His right ankle and first toe are swollen, red, and painful (4/10). He is barely able to bear weight. His last episode was six months ago. He has been taking his medications as prescribed.

Based on the managed care model, select the option below that provides the best example of the type of care delivery recommended.
  1. Emergency care
  2. Acute care
  3. Specialty care
  4. Chronic care
Explanation
Answer: B - Acute care is the best example of the type of care delivery recommended in a managed care model.

This does not negate the fact that members may access various levels of care in the system. Often a member with this type of situation may present to the emergency room or specialty care. The cost of these options has a higher fiscal impact.
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