Question

relating to managed care organizations and plans
the primary care provider, also called a gatekeeper, supervises and coordinates health care services for enrollees and approves referrals to specialists and inpatient hospital admissions.
true
false
question 5 (mandatory) (3 points)
relating to managed care models
the six managed care model categories include hmo, ppo, epo, _, _, and ___.
ids, pos, ipa
ipa, poe, triple option plan
ids, pos, triple option plan

Explanation:

Managed care models are structures in healthcare. The primary care provider (gatekeeper) role is as described. For the second question, the six main managed care model categories are Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Exclusive Provider Organization (EPO), Integrated Delivery System (IDS), Point - of - Service (POS), and Independent Practice Association (IPA).

Answer:

First question: A. True
Second question: A. IDS, POS, IPA