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Course 2C - Quiz 1

 

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1)
One example of 'redesign of the delivery system' that is mentioned in this lesson, is the need for . . .
 
reduction of the pre-managed care Provider Fee Structure
the State to assume a more active role in management of behavioral health care.
three or more HMOs doing business in the region at the same time.
new services which can serve as a 'step-down' or as a diversion from the most intensive levels of care.
selective disqualification of current providers from participation.
 
2)
One issue in managed care is that the provider's clinical and professional beliefs may be contradicted by Care Management decisions.
 
True False
 
3)
The National Alliance For The Mentally Ill (NAMI) recently expressed confidence that the Managed Care industry is effectively balancing COST CONTROLS and CARE for patients.
 
True False
 
4)
Which of the following statements is true, based upon information in this Part A of Lesson 1?
 
One thing that is oftentimes required in the re-design of the delivery sytem is to reduce the number of service options to a manageable size.
HMO's are typically restricted in bringing new providers into the network because of Federal mandates to protect traditional providers.
Care Management is a process of coordinating services to those who request treatment first.
HMOs are not allowed to shift where and how the health care funds are currently spent.
None of the above.
 

 

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