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Components of utilization management and quality management

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Reference no: EM133510267

Question

What is something that you have learned that you did not know before?

What are the most important concepts, points, and topics you learned that you can take with you into your field?

What are your thoughts about how you can apply all the information gained?

Interact with your classmates about concepts, points, and topics you learned that you can take with you into your field.

1. How can I applythe terminology and language of managed care providers and organizations.

2. Assess the techniques of managed care, including financial incentives.

3. Critique public policy and market performance issues facing managed care.

4. Evaluate basic clinical issues within the context of a managed care paradigm.

5. Identify the basic components of utilization management and quality management.

6. Outline the forces and obstacles facing managed care today.

7. Identify and differentiate between the basic managed care models.

8. Delineate the basic components of hospital and physician networks and reimbursement methods.

Identify the basic concepts of underwriting, premium billing, and financial management.

Reference no: EM133510267

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