Which element is included in the staff model of managed care?
Physicians are paid at higher rates than private organizations
The health maintenance organization (HMO) employs its own fixed-salary physicians.
Meets the nutritional and therapeutic requirements of the patients
Registered nurses are sponsored by agency staffing companies
The Correct Answer is B
Rationale:
A. Physicians are paid at higher rates than private organizations: This statement does not accurately describe the staff model of managed care. Compensation rates may vary but are not necessarily higher than in private organizations.
B. The health maintenance organization (HMO) employs its own fixed-salary physicians: In the staff model, physicians and other healthcare providers are directly employed by the HMO and receive fixed salaries rather than fee-for-service payments.
C. Meets the nutritional and therapeutic requirements of the patients: This statement relates more to the provision of healthcare services rather than the employment model within managed care.
D. Registered nurses are sponsored by agency staffing companies: This statement does not pertain to the staff model of managed care; it describes a different aspect of healthcare staffing and employment.
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Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is B
Explanation
Rationale:
A. Political will, ideologies, and legal rulings: These factors can influence healthcare policy, regulation, and practice, driving changes in healthcare delivery.
B. Increase in the elderly population: The aging population is a significant demographic trend
that has substantial implications for healthcare delivery, including increased demand for geriatric care and long-term care services.
C. Social, demographic, and cultural trends: These trends, such as changes in family structures, lifestyle preferences, and cultural norms, can shape healthcare delivery models and services to meet evolving needs.
D. Economic conditions: Economic factors, including healthcare financing, reimbursement
structures, and funding availability, play a crucial role in shaping healthcare delivery systems and services.
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