What Is Managed Care?
Has an organized physician staff
Managed care is a mechanism of providing health care services
An institution with at least six beds and that delivers diagnostic and therapeutic services for medical conditions
Provide continuous nursing service under RNS
The Correct Answer is B
Rationale:
A. Has an organized physician staff: This describes one characteristic of managed care organizations (MCOs), but it does not fully define managed care itself.
B. Managed care is a mechanism of providing health care services: Managed care refers to a system or approach to healthcare delivery that aims to manage and coordinate healthcare services
to improve quality, control costs, and optimize outcomes. It involves mechanisms such as provider networks, utilization management, and financial incentives to achieve these goals.
C. An institution with at least six beds and that delivers diagnostic and therapeutic services for medical conditions: This describes a hospital rather than managed care.
D. Provide continuous nursing service under RNS: This describes a specific nursing service and is not a comprehensive definition of managed care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Daily weight scale: This option refers to a measurement tool for tracking daily weight changes and is not related to assessing functional ability.
B. The interval scale: This refers to a type of measurement scale used in statistics and is not related to assessing functional ability.
C. Activities of daily living (ADL) scale: ADL scales assess an individual's ability to perform basic self-care tasks independently, such as bathing, dressing, grooming, eating, and toileting.
These assessments are used to evaluate functional ability and determine levels of assistance or care needed.
D. CURB-65 Scale: The CURB-65 scale is a clinical prediction tool used to assess the severity of pneumonia and predict the risk of mortality but is not specifically related to assessing
functional ability.
Correct Answer is A
Explanation
Rationale:
A. Car model: The "Car model" is not a recognized model of Health Maintenance Organization (HMO). It seems to be a distractor in this context.
B. Network model: In the network model, the HMO contracts with multiple independent medical groups or practices to provide healthcare services to its members.
C. Group model: In the group model, the HMO contracts with a single medical group, which employs physicians and provides healthcare services to HMO members.
D. Staff model: In the staff model, the HMO directly employs physicians and other healthcare providers who deliver services to its members.
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