Which of the Following Is NOT a Way in Which

question 58

Multiple Choice

Which of the following is NOT a way in which managed care organizations may influence and/or control the patient's choices in selecting health care services:

• A) The patient's PCP must be a participating provider.
• B) Only approved services may be reimbursed.
• C) The managed care organization decides what services are "medically necessary."
• D) The managed care organization only pays for services provided by the PCP.

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Definitions:

Future Resource Needs

Anticipated requirements of an organization for assets, staff, or materials in order to meet its strategic goals.

Forecasting

Predicting future events or trends, often using historical data and analysis methods.

Human Resource Planning

The process by which an organization ensures that it has the right number and kind of people, at the right place and time, capable of effectively and efficiently completing tasks that help the organization achieve its overall objectives.

Attrition

The reduction in the workforce due to employees leaving the company through natural means such as retirement or resignation, not including layoffs.