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What is a timely filing limit to most managed care plan?
Timely Filing Limits for Managed Care
Is the least expensive and mot restrictive type of medicare managed care plan?
The HMO is the least expensive and most restrictive Medicare managed care plan.
What is the purpose of a managed care plan?
The purpose for managed care plans is to reduce the cost of health care services by stimulating competition and streamlining administration.
When working under a managed care plan physiciands agree to?
Accept fees that are predetermined by the plan.
What are employees and dependents who join a managed care plan called?
beneficiaries
How does managed health care differ from that offered by traditional insurance?
members of managed care programs typically have less freedom to choose their health care providers, thus limiting the plan member's control over the quality and delivery of care in a managed system.
Is the health insurance plan for military personnel managed care?
Yes, the health insurance plan for military personnel, known as TRICARE, operates as a managed care system. It provides a network of healthcare providers and facilities to offer coordinated care, emphasizing preventive services and efficient use of resources. While there are different options within TRICARE, including managed care plans and fee-for-service options, the managed care approach is a significant component of the program.
How are managed care plans operated?
Under a managed care plan, a person can enroll in an organization that charges a monthly fee. In return for this monthly fee, the enrollee receives access to health care services from the organization.
Which term refers to a managed care plan that traditionally requires coordination of healthcare through a primary care physician?
HMO
Is an integrated delivery system a managed care plan?
An integrated delivery system (IDS) is not a managed care plan per se, but it can encompass managed care elements. An IDS is a network of healthcare providers and organizations that work together to deliver coordinated care, often aiming to improve patient outcomes and reduce costs. Managed care plans, on the other hand, are specific insurance products that manage costs and quality of care through various mechanisms, including provider networks and cost-sharing arrangements. While an IDS can operate under a managed care model, they are distinct concepts.
How do managed health care plans operate?
Managed care plan administrators act as middlemen by contracting with health care providers and enrollees to deliver medical services. The enrollees pay a set fee that entitles them to services
Which term best describes those who receive managed health care plan services?
enrollees
