Answer to Question 1
Cost-containment efforts included negotiating contracts, controlling referrals to specialists, sharing federal resources, appropriately utilizing BOP medical referral centers, providing managed care training for personnel, and conducting administrative utilization reviews for community hospitalizations.
Answer to Question 2
Licensure confirms that health care facilities have met minimum standards of service and quality in compliance with state law and regulations. Federal certification measures the ability of health care facilities to deliver care that is safe and adequate in accordance with federal laws and regulations.