Which of the following best describes the purpose of case ...

[Pineappleeh]

Which of the following best describes the purpose of case management from the client's perspective?
 
  a. To help clients navigate a complex, fragmented, confusing health care system to obtain appropriate care
  b. To help clients recognize that health care resources are limited and must be used wisely
  c. To help clients understand their varied health problems and the best approach to maintain their health
  d. To help clients obtain whatever care they need or desire

Question 2

Which of the following best describes the first government step in trying to stop constantly rising costs?
 
  a. Insurance companies were told to cease adding new members to their plan.
  b. Payment reimbursement was based on diagnosis and client characteristics rather than on treatment given.
  c. Physicians were limited to a maximum amount that would be paid for any particular service.
  d. Reimbursement was based on prospective payment; that is, in advance of admittance for care.

[TheDev123]

Answer to Question 1

ANS: A
Client-centered case management assists the patient through a fragmented and often confusing health care delivery system and to achieve specific client-centered goals. Systems-centered case management recognizes that health care resources are finite. Helping clients understand their health problems is a responsibility of health education, not case management.

Answer to Question 2

ANS: B
The first efforts to control costs were made by the federal government when Medicare hospital reimbursement was based on a prospective payment system. Payment would be based on a classification system that identified costs according to diagnosis and client characteristics. Restricting insurance companies to add new members to their plan was not part of the first steps to try to stop constantly rising costs.