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Health Care in the U.S. Chapter 9 Exam 2025 Questions and Answers fee schedule - ....ANSWER ...-pre-negotiated schedule deciding when a provider is paid by an MCO indemnity insurance - ....ANSWER ...-AKA fee-for-service insurance; allows insured to obtain health care services anywhere and from any physician or hospital panel - ....ANSWER ...-providers selected to render services to members of an MCO; "preferred providers" closed-panel - ....ANSWER ...-services obtained outside panel not covered by managed care plan open-panel - ....ANSWER ...-plan allows access to providers outside of panel, but enrollees have to pay higher out-of-pocket costs case management - ....ANSWER ...-organized approach to evaluating and coordinating care, particularly for patients w/ complex/costly problems that require variety of services from multiple providers over extended period disease management - ....ANSWER ...-position-oriented strategy for people with chronic conditions; based on well-established, evidence-based treatment guidelines formulary - ....ANSWER ...-list of prescription drugs approved by health plan …FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1