Managed Care Nursing

Category - Overview

Which statement provides a correct description of how managed care impacts health care costs?
  1. The managed care financial structure is based on fee-for-service. This allows for cost containment as there is only money exchanged when a service is provided.
  2. The responsibility for member health care coordination is upon the managed care programs
  3. A and B
Explanation
Answer: B - Managed care impacts health care costs through the responsibility for member health care coordination.

The managed care program has the responsibility to coordinate member health care. The managed care programs are owned by health insurance companies and providers. This is one of the concepts that has proven cost-containment efficiencies.
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