Which of the Following Managed-Care Efforts Includes Employer Use of Increased

question 90

Multiple Choice

Which of the following managed-care efforts includes employer use of increased deductibles, coinsurance payments, policy exclusions and limitations, and establishment of maximum benefits?

• A)Alternative funding methods
• B)Plan design
• C)Claims review
• D)External cost control systems
• E)Alternative providers

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Definitions:

Market Failure

A situation in which the allocation of goods and services by a free market is not efficient, often leading to a net social welfare loss.

Externality

A consequence of an economic activity experienced by unrelated third parties; can be either positive or negative.

Resource Dependency

A theory in organizational studies that describes how external resources dictate the behaviors and strategies of organizations.

External Constituencies

Groups or individuals outside an organization that are affected by its decisions and actions, such as customers, suppliers, and the community.