Question

Which contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control?

a. survey
b. report card
c. concurrent review
d. risk contract

Answer 1

A managed care plan report card includes information about quality, utilization, and more. Policies developed in health care must consider the balance of cost, quality of life, and privacy. Three critical questions shape these policies, focusing on cost-quality balance, health record privacy, and the incorporation of feedback.

Step-by-step explanation:

The managed care plan that contains data regarding its quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control is identified as a report card. When developing policies that balance the costs of treatments and diagnoses, patient quality of life, and risks to individual privacy, the following three key questions must be considered:

1. How can a balance between the need for high-quality care and the necessity to control treatment costs be achieved without compromising patient quality of life?
2. What measures can be implemented to ensure the integrity and security of health records, thereby safeguarding individual privacy?
3. In what ways can patient and provider feedback be incorporated into ongoing assessments of treatment effectiveness, contributing to both improved outcomes and patient satisfaction?