HSM546 Health Ins and Managed Care Keller

HSM546 Health Ins and Managed Care Keller

HSM546 Health Ins and Managed Care Keller

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HSM 546 Week 1 DQ 1 HMO Formation
HSM 546 Week 1 DQ 2 Managed-Care Plans
HSM 546 Week 1 Quiz
HSM 546 Week 2 DQ 1 Utilization Management
HSM 546 Week 2 DQ 2 The Effect of Human Behavior
HSM 546 Week 2 HSM 546 You Decide Cooper-Pearson Sports Marketing
HSM 546 Week 3 DQ 1 Payment Mechanisms
HSM 546 Week 3 DQ 2 Managed-Care Underwriting
HSM 546 Week 3 Quiz
HSM 546 Week 4 DQ 1 Consumer Strategy
HSM 546 Week 4 DQ 2 Claims and Benefit Administration
HSM 546 Week 4 Managed Care Enrollment
HSM 546 Week 5 DQ 1 Social Insurance Medicaid
HSM 546 Week 5 DQ 2 Social Insurance Medicare
HSM 546 Week 5 Quiz
HSM 546 Week 6 DQ 1 The Regulatory Environment and Quality in Managed Care
HSM 546 Week 6 DQ 2 The Quality of Healthcare
HSM 546 Week 6 Executive Summary Article Review
HSM 546 Week 7 DQ 1 Issues Driving Federal Policy
HSM 546 Week 7 DQ 2 The Impact of Technology



HSM 546 Week 1 Quiz

Detailed Product Description
1.
Question :
(TCO B) The integral components of managed care are _____.
Student Answer:
wellness and prevention
primary-care orientation
utilization management
wellness, prevention, and utilization management
All of the above


2.
Question :
(TCO A) Which organization(s) need a corporate compliance officer (CCO)?
Student Answer:
Health plans with a MedicareAdvantage risk contract
Every organization that provides healthcare.
Hospitals
All of the above
Health plans with a MedicareAdvantage risk contract and hospitals


3.
Question :
(TCO A) Basic elements of credentialing include _____.
Student Answer:
hospital privileges
malpractice history
medical license
continuing medical education (CME)
All of the above


4.
Question :
(TCO B) When selecting a hospital during the network-development phase, an MCO considers the _____.
Student Answer:
occupancy rate
cost of...

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