forDR.SAMUELSON only!!!
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final_exam-smhs.docxFinal Exam-SMHS
1. Discuss the concept of prevention, and why health plans should pursue prevention strategies?(essay)
2. Identify what PBM stands for, and in what the concept is behind it?(essay)
3. Explain how the HMO Act of 1973 contributed to the growth of managed care.(essay)
4. Describe the key steps in developing a modern quality management program.(essay)
5. Identify what the application for enrolling in Medicare Advantage is known as. Also, identify the four parts of Medicare and what is included in each? (essay)
6. Briefly explain the history of health care fraud in the United States.(essay)
7. List three examples of how MCO can further leverage technologies to improve service and the overall experience for the member by doing the unexpected.(essay)
