Multiple choice

1. What part of the business community is best organized for politics? 

A: health care “consumers”

B: big business

C: Legislators

D: The small business community

E. Regional coalitions

2. The effort to move senior citizens into managed care plans began during the ______________ administration?

A: Reagan

B: Clinton

C: Carter

D: Kennedy

E: Obama 

3. A health risk appraisal is an example of a ______________ review

A: concurrent

B: retrospective

C: continued pay

D: prospective

4. A well-run Member Service department in a MCO will always:

A: be proactive in its approach to members

B: pay claims on time because the state may have “time to pay” requirements

C: make sure it records enrollment of members accurately because physicians get paid by that information under a capitation system

D: make sure ID cards get out on time to keep members from being dissatisfied with the MCO