Fill in the Blank: the Distinction Between Predisposing and Enabling

question 26

Multiple Choice

Fill in the blank: The distinction between predisposing and enabling conditions can be applied to assess the _______ of a health care system.

• A)cost
• B)equity
• C)efficiency
• D)effectiveness

Comprehend the process and importance of precertification, preauthorization, and predetermination in health care.

Identify the types of insurance plans and their unique features, including indemnity plans, HMOs, and PPOs.

Understand the significance of coordination of benefits and the mechanisms to avoid duplication of payment.

Recognize the role of third-party payers in the health insurance landscape.