Chapter 5 – Managed Care – Select 5 questions to respond to and include the ques

Chapter 5 – Managed Care – Select 5 questions to respond to and include the questions along with your response
What do you consider to be the primary objectives of utilization review?
Will it ever be possible to return to the free-market approach to healthcare delivery? Why or why not?
What perceived risks are present when all patients are free to select their own specialist providers?
What appears to be the primary advantage of using clinical pathways?
What can managed care plans potentially do, or what do they actually do, to encourage preventive health care?
How can a case manager position pay for itself in savings to the healthcare system?
What is the principal advantage of benchmarking? Provide an example.
Explain why all managed care plans require the permission of the primary care physician before a patient visits an emergency room. Under what circumstances is this permission not required?
Will straight fee-for-service health care continue to exist at all? Why or why not?
What is likely the strongest cost-saving feature of every managed care plan? Why is this so?
Chapter 26 – Select 5 questions to respond to and include the questions along with your response
Often, the productivity of a work group decreases after a layoff, even though there is more work to be done overall. Why might this be so?
In budgeting, why are funds for operating expenses and funds for capital expenditures always kept separated
Describe one set of circumstances under which a supervisor may be largely powerless to affect a particular expense charged to the department.
Is overtime expense fully controllable, partially controllable, or not at all controllable by the supervisor? Explain.
If the numbers say the organization has to reduce 20 positions, and 20 employees leave via resignation and retirement, why might it still be necessary to reduce positions further and even engage in some hiring?
How can benchmarking assist the supervisor in determining whether a staff reduction may be necessary?
What conditions or circumstances in your own department should you consider before deciding to reduce staff?
The term “reengineering” literally means “engineering again.” Why is so much so-called reengineering, not true reengineering?
As a department supervisor, why might you often not get what you have asked for in the capital budget?
What information can the department supervisor often supply to finance or information services that can help in developing revenue projections?
McConnell, C. R. (2018). Umiker’s Management Skills for the New Health Care Supervisor (7ed)