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Org Theory > Test 1 > Flashcards

Test 1 Flashcards

1
Q

3 party systems in health care

A

employers, payers (insurers), and providers (clinicians and HCOs)

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2
Q

accredations

A

joint commissions and National Committee on Quality Assurance

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3
Q

Joint commission

A

accredits HCOs (hospitals, nursing homes, inpatient facilities) (Medicare part A)

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4
Q

National Committee on Quality Assurance (NQCA)

A

accredits the insurance plans offered by third party payers (insurance companies)
Accredited employer offered plans
Employers pay NCQA to make sure insurance plans are good

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Org Theory (2 decks)

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