WHAT IS THE GOAL OF MANAGED HEALTH CARE? WHAT DOES IT STRIVE TO DO?
1.What is the goal of managed health care? What does it strive to do?
2. What is the role of a primary care physician (PCP) in a traditional HMO?
3. Explain how capitation works in regard to physician reimbursement.
4. Have pay-for-performance (P4P) programs been effective? Why or why not?
5. Differentiate between pre-auth and pre-cert.
WHAT IS THE GOAL OF MANAGED HEALTH CARE? WHAT DOES IT STRIVE TO DO?
1.What is the goal of managed health care? What does it strive to do?
2. What is the role of a primary care physician (PCP) in a traditional HMO?
3. Explain how capitation works in regard to physician reimbursement.
4. Have pay-for-performance (P4P) programs been effective? Why or why not?
5. Differentiate between pre-auth and pre-cert.
WHAT IS THE GOAL OF MANAGED HEALTH CARE? WHAT DOES IT STRIVE TO DO?
1.What is the goal of managed health care? What does it strive to do?
2. What is the role of a primary care physician (PCP) in a traditional HMO?
3. Explain how capitation works in regard to physician reimbursement.
4. Have pay-for-performance (P4P) programs been effective? Why or why not?
5. Differentiate between pre-auth and pre-cert.
