Author Question: Which of the following best describes why utilization review departments are becoming case ... (Read 77 times)

Cooldude101

  • Hero Member
  • *****
  • Posts: 557
Which of the following best describes why utilization review departments are becoming case management units?
 
  a. Funding is available for case management responsibilities.
  b. Monitoring service use alone does not improve patient outcomes.
  c. It facilitates using nurse experts for case management.
  d. It promotes the current trend of naming utilization review units case management.

Question 2

Which of the following conclusions can be drawn from reviewing how health care costs are spread over a person's lifetime?
 
  a. Health care expenditures increase with age.
  b. Premature newborns incur more costs than other children from birth through adulthood.
  c. The majority of cost is incurred during middle age when chronic diseases strike.
  d. Persons aged 85 years and above spend the most money on health care.



abro1885

  • Sr. Member
  • ****
  • Posts: 337
Answer to Question 1

ANS: B
Case management programs evolved from utilization review departments when those departments demonstrated that monitoring service use alone is insufficient for managing patient populations with diverse resource needs. There is not readily available funding for case management responsibilities. Case management involves more than utilization review, so there is a changing role of the nurse associated with the change of the name of the department. Using nurse experts for case management is beneficial, but it is not the reason why these departments transitioned.

Answer to Question 2

ANS: A
Expenditures increase with age. About one third of costs are incurred during middle age; half during the senior years; and, for those older than 85 years, one third of their lifetime costs occurs during their last year of life.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Pink eye is a term that refers to conjunctivitis, which is inflammation of the thin, clear membrane (conjunctiva) over the white part of the eye (sclera). It may be triggered by a virus, bacteria, or foreign body in the eye. Antibiotic eye drops alleviate bacterial conjunctivitis, and antihistamine allergy pills or eye drops help control allergic conjunctivitis symptoms.

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

Studies show that systolic blood pressure can be significantly lowered by taking statins. In fact, the higher the patient's baseline blood pressure, the greater the effect of statins on his or her blood pressure.

For a complete list of videos, visit our video library