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Healthcare Management: An Introduction Questions 186–190 (page: 39)

Updated On: 10-Feb-2026

The Fairway Health Group contracted with the Empire Corporation to provide behavioral healthcare services to Empire employees. As a condition of providing behavioral healthcare services, Fairway required Empire to contract with Fairway for basic medical s

  1. horizontal group boycott
  2. price-fixing agreement
  3. horizontal division of markets
  4. tying arrangement

Answer(s): D



The following organizations are the primary sources of accreditation of healthcare organizations:

  1. National Committee for Quality Assurance (NCQA)
  2. American Accreditation HealthCare Commission/URAC Of these organizations, performance data is included i
  3. A only
  4. B only
  5. A and B
  6. none of the above

Answer(s): A



The following paragraph contains an incomplete statement. Select the answer choice containing the term that correctly completes the statement. In early efforts to manage healthcare costs, traditional indemnity health insurers included in their health pla

  1. cost shifting
  2. deductibles
  3. underwriting
  4. copy

Answer(s): B



The following paragraph contains an incomplete statement. Select the answer choice containing the term that correctly completes the statement. Advances in computer technology have revolutionized the processing of medical and drug claims. Claims processing i

  1. Lower
  2. Higher
  3. Same
  4. No change

Answer(s): B



The following programs are part of the Alcove Health Plan's utilization management (UM) program:
-Preventive care initiatives -A telephone triage program -A shared decision-making program -A self- care program
With regard to the UM programs, it is most

  1. Preventive care initiatives include immunization programs but not health promotion programs.
  2. Telephone triage program is staffed by physicians only.
  3. Shared decision-making program is appropriate for virtually any medical condition.
  4. Self-care program is intended to complement physicians' services, rather than to supersede or eliminate these services.

Answer(s): D



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