Practice Quiz

Managed Care Nursing

Category - Patient Issues

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Identify the option that is not a key criterion for patients when selecting a managed care plan.
  1. Cost versus benefits
  2. Prescription benefits
  3. Service locations
  4. Competing to carry lowest cost
  5. Quality plan to ensure best care and cost
Explanation
Answer: D- The concept of competing to carry lowest cost is not a key criterion for patients when selecting an MCO plan.

Ultimately, quality care and service beget reduced costs. When selecting an MCO plan, patients should look at cost versus benefit, prescription benefits, COBRA, location of services, customer satisfaction scores, plan limitations, and maximums or exclusions.
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