De-escalation strategies — Flashcards

Flashcard 1: Which major medical insurance plan limits patients to a network of doctors, specialists, and hospitals without requirement of referrals?_____

Answer: Exclusive provider organization (EPO)

Flashcard 2: What is the most common cause of hospital readmission in patients with private insurance?_____

Answer: Maintenance of chemo-/radiotherapy

Flashcard 3: Do patients with preferred provider organization (PPO) insurance plans require PCP referral for specialist visits?_____

Answer: No

Flashcard 4: Which major medical insurance plan denies payment for any service that does not meet evidence-based guidelines?_____

Answer: Health maintenance organization

Flashcard 5: Which part of medicare provides insurance for prescription drugs? _____

Answer: Part D

Flashcard 6: Which part of medicare provides hospital insurance and home hospice care? _____

Answer: Part A

Flashcard 7: Do patients with exclusive provider organization (EPO) insurance plans require PCP referral for specialist visits?_____

Answer: No

Flashcard 8: tertiary prevention (epidemiology)

Answer: reduce morbidity and mortality (e.g. chemotherapy for cervical cancer)

Flashcard 9: List five common surrogate decision-makers (medical law) in order of decreasing priority.

Answer: spouse adult children parents adult siblings other relatives

Flashcard 10: What kind of gifts are acceptable? _____

Answer: Small ones

Extra:  https://onlinemeded.org?ref=anki