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 D
Explanation
Rationale:
A. Wastage at clinics: While wastage at clinics may contribute to inefficiencies in the healthcare system, it is not a primary reason that cost-control efforts in the United States have not been successful.
B. Global healthcare issues: While global healthcare issues may impact the broader context of healthcare delivery, they are not a specific reason for the lack of success in cost-control efforts within the United States.
C. Poor patient outcomes: Poor patient outcomes may contribute to healthcare costs, but they are not the primary reason that cost-control efforts have not been successful.
D. Cost shifting: Cost shifting refers to the practice of shifting costs from one payer to another, such as from private insurers to public payers like Medicare and Medicaid. This practice can undermine efforts to control costs by redistributing financial burdens rather than addressing underlying cost drivers.
Correct Answer is A
Explanation
Rationale:
A. Total number of inpatient days incurred by a population over a given period of time: "Days of care" refers to the total number of days that all inpatients collectively spend in hospitals over a specified period, such as a month or a year. It is a measure of the volume of inpatient services provided.
B. The number of days a patient stays in a hospital: While this answer describes the duration of an individual patient's hospital stay, it does not encompass the concept of "days of care," which refers to the aggregate total of inpatient days across all patients.
C. The total number of patients admitted: This answer refers to the number of patients admitted to a hospital but does not capture the concept of "days of care," which measures the duration of inpatient stays.
D. The length of time patients are treated in a clinic: This answer describes the duration of
treatment in a clinic setting, which is different from the concept of "days of care" in the context of inpatient hospital services.
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