Multiple Questions Answers

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