Foundations of Managed Care 12/19./2014
kritin151.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.
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