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HCM 310 Test 1 (Essentials of the US Health Care System) Exam 2025 Questions and Answers Managed Care - ....ANSWER ...-Seeks to achieve efficiency by integrating the basic functions of health care delivery, and it employs mechanisms to control utilization and cost of medical services. - dominant health care delivery system in America enrollee - ....ANSWER ...-refers to the individual covered under the managed care plan health plan - ....ANSWER ...-the contractual agreement between the MCO and enrollee- including descriptions of the various health services to which enrollees are entitled capitation - ....ANSWER ...-a reimbursement mechanism under which the provider is paid a set monthly fee per enrollee regardless of whether or not an enrollee sees the provider. Department of Health and Human Services (DHHS) - ....ANSWER ...-provides federal support for community based health centers that include programs for migrant and seasonal farm workers and their families, homeless persons, public housing residents, and school aged children. …FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1