Describe the case management process

Reference no: EM13517378

1. What do case managers do?
2. Is it advantageous to combine preadmission and concurrent review with case management services?
3. Describe the case management process.
4. When does discharge planning begin?
5. What do structural measures of health care quality focus on? Give examples.
6. What do process measures of health care quality focus on? Give examples.
7. What do outcomes measures of health care quality focus on? Give examples.
8. Assess the relevance of Donabedian’s criteria of assessing quality of care.
9. What are some traditional outcome measures of quality of care?
10. What do patient satisfaction surveys show?
11. What are appropriateness criteria used for?
12. What is upcoding?
13. Why did Congress establish “safe harbors”?
14. Can MCOs face liability for not choosing a particular physician to participate in their network?
15. What does ERISA do to the regulation of health plans?
16. What agencies are responsible for investigating violations of anti-trust?
17. What does HIPAA do and who does it apply to?
18. Have labor unions been supportive of HMOs?
19. Who regulates managed care?
20. What does demand management “manage”? Give some examples.

Reference no: EM13517378

Questions Cloud

Actually blendings of repression-reform-coercion : Bill and Springborg has argued that " the leaders of the Gulf states have all adopted policies of revision that are actually blendings of repression and reform, coercion and co-optation.

Trade-related aspects of intellectual property rights : When and where were the Uruguay Round agreements and what is the Trade-Related Aspects of Intellectual Property Rights? and what concerns does it address?

What is going on in the state of interest : Which of the following is notone of the key variables that foreign policy decision makers must consider when making policy ? What is going on in the state of interest. The nature and context of the international system

What is the central florida health care coalition : What is the Central Florida Health Care Coalition (what type of _____ coalition)? Why did employers in the U.S. become major sponsors of health care coverage? Who purchases healthcare in the U.S.? What is the role of labor unions in managed care? Des..

Describe the case management process : What do case managers do? Is it advantageous to combine preadmission and concurrent review with case management services? Describe the case management process. When does discharge planning begin? What do structural measures of health care quality foc..

The relationship between sentencing and punishment : The relationship between sentencing and punishment in today’s courts. Recommendations for how to modify the sentencing process to reduce recidivism rates

Compare four philosophical reasons for sentencing criminals : An explanation of the six forms of punishment. The relationship between sentencing and punishment in today’s courts. Recommendations for how to modify the sentencing process to reduce recidivism rates

Disadvantage in every sector of their economies : The world’s poorest countries are at a competitive disadvantage in every sector of their economies. They have little to export. They have no capital; their land is of poor quality; they often have too many people given available work opportunities..

Wrestling with the same problems of state formation : "the Middle East today is wrestling with the same problems of state formation that have confronted Europe". Assess and highlight the major problems.

User Account

All Pages