Managed Care Nursing

Category - Healthcare Economics

What type of payment system within the MCO pays providers an all-included fee to provide care for members based on the diagnosis, medical treatments, and/or procedures?
  1. Indirect rate
  2. Case rate
  3. Member type rate
Explanation
Answer: B-A “case rate” payment system pays providers an all included fee for member care based on diagnosis, medical treatments, or procedures.
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