A nursing informatics specialist hired by Blue Cross/Blue Shield ...

[Lisaclaire]

A nursing informatics specialist hired by Blue Cross/Blue Shield (a form of third-party payers benefit package for a prepaid fee that uses specific standards to approve a period of time for the use of inpatient and community health services) is
 
  participating in: a. Critical pathways.
  b. Healthcare networks.
  c. Health maintenance organizations.
  d. Managed care.

Question 2

In an organization what does the powerful do?
 
  A) Should have no influence on decisions that are made
  B) Usually have decisions made that are in congruence with their own values
  C) Usually allow others to make the decisions however they wish
  D) Usually make all the important decisions themselves

[millet]

Answer to Question 1

D
Managed care strives to contain costs (e.g., through limitation of time in care) while maintaining quality. Managed care combines care delivery with financing and provides comprehensive ser-vices for a fixed prepaid fee. Group practice plans take various forms. One form has a centralized administration that directs and pays salaries for physician practice (e.g., HMOs).

Answer to Question 2

B

[Lisaclaire]

Great answer, keep it coming

[Dominic]

Excellent