Which of the following contains data on a managed care plan's quality and cost control?

Prepare for your Health Insurance Billing Exam. Utilize flashcards and multiple choice questions, each with explanations. Boost your readiness!

The choice of report card is accurate because it specifically refers to a tool used in managed care to provide information about the quality and cost control of healthcare services. A report card typically includes metrics that evaluate the performance of healthcare plans, focusing on aspects like patient satisfaction, treatment outcomes, adherence to clinical guidelines, and cost efficiency. This format allows consumers, providers, and regulators to assess and compare managed care plans effectively.

In contrast, a risk contract is an agreement between providers and payers that involves financial incentives related to the management of care but does not systematically compile comparative quality and cost data. A survey, while it may gather feedback or data on patient experiences and perceptions, does not inherently summarize quality and cost metrics in a report format. Concurrent review refers to an ongoing evaluation of the necessity and efficacy of healthcare services during patient care, which is specific to the management of individual cases rather than providing an overview of a managed care plan's overall performance across quality and cost parameters. Thus, report cards serve the unique function of transparently presenting these critical data points.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy