Question

multiple choice question

a network that shares responsibility for managing the quality and cost of care provided to a group of patients is called a(n) ______.

• account care plan
• health cost plan
• managed care organization
• accountable care organization

Explanation:

Define the core concept of the question

The question asks for the term that describes a network of healthcare providers that shares responsibility for managing both the quality and the cost of care delivered to a designated group of patients.

Analyze the given options

• account care plan: This is not a standard healthcare delivery or organizational model.
• health cost plan: This is a type of Medicare health plan but does not represent a provider network sharing clinical and financial responsibility.
• managed care organization: While a managed care organization (MCO) manages cost and quality through contracts and utilization reviews, it is typically an insurer or a health plan structure rather than a specific network of clinical providers sharing joint accountability for a designated patient population.
• accountable care organization: An Accountable Care Organization (ACO) is specifically defined as a group of doctors, hospitals, and other healthcare providers who come together voluntarily to give coordinated high-quality care to their Medicare or insurance patients, sharing financial risk and rewards based on meeting Healthcare Quality Measures and cost-reduction targets.

Select the correct option

Using the Healthcare Quality Measures knowledge point, the definition perfectly matches an accountable care organization.

Answer:

• account care plan
• health cost plan
• managed care organization
• accountable care organization (Correct answer)