Question

23. Why did managed care grow?

		the benefits of fee-for-service negated the need for excessive monitoring
		employers accepted the increasing expenses from health care providers
		healthcare spending plateaued
		healthcare costs were growing faster than the Consumer Price Index

35.

1. When the amount of reimbursement from some payers becomes inadequate or when uncompensated services are rendered without payment, then________can occur:

   		Cost Sharing
   		Fee for Service
   		Cost Shifting
   		Managed Care
   		Managed Shifting

26.

1. What is the purpose of discharge planning?

   To provide continuity of care

   To find a cure for someone's diagnosis

   To find an extended family to keep the patient

   To determine when the patient should come back in to the hospital

   33. What is managed care?

   		an organized approach to direct specific healthcare services and to limit unnecessary care
   		an effort to allow resources to be utilized without constraints to the benefit of cost-sharing and cost-shifting entities
   		negotiations of prices with providers
   		the efficient care of individuals through clinical care

Answer 1

23. healthcare costs were growing faster than the Consumer Price Index

The primary reason behind the growth of managed care is the rising cost of healthcare. Managed care can be defined as activities to control health care costs while providing quality health care.

35. Cost shifting

In healthcare, cost shifting can occur when the amount of reimbursement from some payers becomes inadequate or when uncompensated services are rendered without payment. Responsibility for payment is transferred from one player to another.

26. To provide continuity of care

Discharge planning can be defined as a process in which a patient’s care is transitioned from one level to another. The purpose is to provide continuity of care.

33. an effort to allow resources to be utilized without constraints to the benefit of cost-sharing and cost-shifting entities