Question

Which of the following are characteristics of managed care systems (select all that apply)?

1) Provider receives a predetermined payment for each patient in the program.
2) Payment is based on a set fee for each service provided.
3) Systems includes a voluntary prescription drug program for an additional cost.
4) System tries to reduce cost while keeping patients healthy.
5) Focus of care is on prevention and early intervention.

Answer 1

Managed care systems have several characteristics including a predetermined payment for each patient, a focus on reducing costs while keeping patients healthy, and a focus on prevention and early intervention.

Step-by-step explanation:

Managed care systems have several characteristics:

• 1) Provider receives a predetermined payment for each patient in the program: In managed care systems, healthcare providers are paid a fixed amount for each patient enrolled in the program, regardless of the services provided. This helps to control costs and incentivize efficient care.
• 2) Payment is based on a set fee for each service provided: This is not a characteristic of managed care systems. In fee-for-service models, providers are paid based on the specific services they provide.
• 3) Systems includes a voluntary prescription drug program for an additional cost: This is not a characteristic of managed care systems. The inclusion of a prescription drug program would vary depending on the specific managed care plan.
• 4) System tries to reduce cost while keeping patients healthy: Managed care systems are designed to reduce costs while emphasizing preventive care and keeping patients healthy. This is one of the key goals of managed care.
• 5) Focus of care is on prevention and early intervention: Managed care systems prioritize prevention and early intervention to maintain the health of patients and prevent costly medical interventions later on.