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Question ID 21638

Outcomes management is a tool that health plans use to maximize all the results
associated with healthcare processes. The following statement(s) can correctly be made
about outcomes management:
1.The goal of outcomes management is to identify and implement treatments that are cost-
effective and deliver the greatest value
2.Outcomes management introduces performance as a critical factor in the assessment
and improvement of outcomes

Option A

 Both 1 and 2

Option B

 1 only

Option C

2 only

Option D

Neither 1 nor 2

Correct Answer A
Explanation


Question ID 21639

For this question, if answer choices (1) through (3) are all correct, select answer choice (4).
Otherwise, select the one correct answer choice.
Health plans sometimes delegate selected medical management activities to their
providers or other external entities. Activities that are frequently delegated include

Option A

 utilization review (UR)

Option B

quality management (QM)

Option C

 preventive health services

Option D

 all of the above

Correct Answer A
Explanation

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