Question 1

Braunvieh HMO limits the numbers of providers available to the subscribers of the plan. This is most likely a

Accepted Answer

A) Open panel 
B) Closed panel 
C) Network model 
D) Staff model 
A) Open panel 
B) Closed panel 
C) Network model 
D) Staff model

Question 2

Which of the following is not a reason for open access HMO?

Accepted Answer

A) Delays in care 
B) Gatekeepers 
C) Referral problems 
D) Expensive to operate 
A) Delays in care 
B) Gatekeepers 
C) Referral problems 
D) Expensive to operate

Question 3

What is a point of service HMO?

Accepted Answer

A) Member can go outside of HMO providers 
B) Members pay for services 
C) HMO pays at the time of service 
D) HMO only pays for certain services. 
A) Member can go outside of HMO providers 
B) Members pay for services 
C) HMO pays at the time of service 
D) HMO only pays for certain services.

Question 4

What is meant by the term "gatekeeper system"?

Accepted Answer

A) Members must get authorizations from primary care providers 
B) HMO determines the need of care 
C) Access to providers is limited 
D) Referrals are available only during regular business hours 
A) Members must get authorizations from primary care providers 
B) HMO determines the need of care 
C) Access to providers is limited 
D) Referrals are available only during regular business hours

Question 5

What is the purpose of an HMO?

Accepted Answer

A) Manage health care and costs 
B) Manage the providers of health care 
C) Increase in health care 
D) Decrease costs of health care 
A) Manage health care and costs 
B) Manage the providers of health care 
C) Increase in health care 
D) Decrease costs of health care

Braunvieh HMO limits the numbers of providers available to the subscribers of the plan. This is most likely a

Which of the following is not a reason for open access HMO?

What is a point of service HMO?

What is meant by the term "gatekeeper system"?

What is the purpose of an HMO?

Health: Health and Life Insurance

Health: Disability

Health: Health and Dental

Health: Tax Issues in Life Insurance

Health: Theory in Life Insurance

Comprehensive Examination: English and Language Usage

Comprehensive Examination: Mathematics

Comprehensive Examination: Reading

Comprehensive Examination: Science

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Exam 4: Health: Health Maintenance Organizations

Braunvieh HMO limits the numbers of providers available to the subscribers of the plan. This is most likely a

Which of the following is not a reason for open access HMO?

What is a point of service HMO?

What is meant by the term "gatekeeper system"?

What is the purpose of an HMO?

Health: Health and Life Insurance

Health: Disability

Health: Health and Dental

Health: Tax Issues in Life Insurance

Health: Theory in Life Insurance

Comprehensive Examination: English and Language Usage

Comprehensive Examination: Mathematics

Comprehensive Examination: Reading

Comprehensive Examination: Science

Filters