National Center for Competency Testing (NCCT) Medical Assistant Practice Test

What does the term "managed care" primarily describe?

1. Treatment in emergencies

2. Coordination of patient care

3. Quality assurance processes

4. Insurance claim processing

The correct answer is: Coordination of patient care

The term "managed care" primarily describes the coordination of patient care. Managed care systems are designed to optimize healthcare services by integrating various aspects of healthcare delivery, including preventive and primary care, specialist referrals, and hospital services. This ensures that patients receive the appropriate level of care in a cost-effective manner. In managed care, there is a focus on managing healthcare resources to improve health outcomes while controlling costs. This may involve the use of care teams, case management, and health education resources, all aimed at ensuring that patients navigate the healthcare system effectively. Other options, while relevant to aspects of healthcare, do not reflect the core objective of managed care. Treatment in emergencies refers to urgent medical situations and does not encompass the broader strategy of care coordination. Quality assurance processes are essential for maintaining standards in healthcare services but are not the primary focus of managed care. Insurance claim processing is primarily a financial and administrative task that falls outside the scope of care coordination.