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:

Price

The amount of money required to purchase a good or service, often determined by factors like demand, supply, and market competition.

Utility Function

A representation or model used in economics to quantify the satisfaction or happiness a consumer derives from consuming goods and services.

Income

Payment obtained, regularly, for services rendered or from capital investments.

Preferences

In economics, refers to the subjective tastes and desires of consumers that influence their choices and demands.