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 D
Explanation
A. Pharmacy services available: While having pharmacy services available may be beneficial for patient care, it does not directly address the importance of organizational integration.
B. Provides food services to meet the nutritional and therapeutic requirements of the patients: While important for patient care, providing food services does not fully capture the importance of organizational integration.
C. There is maintenance of medical records on each patient: Maintaining medical records is essential for patient care but does not address the broader importance of organizational
integration.
D. It is necessary for economic reasons: Organizational integration refers to the coordination and alignment of different aspects of a healthcare organization, including clinical, administrative, and financial functions. Integration is crucial for optimizing efficiency, reducing duplication of services, improving communication, and ultimately achieving cost savings and better patient outcomes.
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