Practice Quiz

Managed Care Nursing

Category - Overview

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Which statement most closely describes the managed care concept?
  1. Implementation of utilization review, utilization management, and outcome measures to analyze and improve care
  2. Conglomeration of providers caring for groups of members
  3. Implementation of cost-containment measures through proven efficiencies in quality monitoring and improvement and preventive and health education
  4. All of the above
Explanation
Answer: D - The managed care concept is a conglomeration of providers caring for groups of members. UR, UM, and outcome results were implemented to analyze and improve care. Proven efficiencies in quality monitoring and improvement in preventative health education were implemented as cost-containing measures.
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