Cebs gba final exam Study guides, Class notes & Summaries

Predictive Modeling and Risk Assessment - A cost containment practice that analyzes claims data and identifies high risk potentially high cost members and intervenes to avoid preventable cost Performance Measurement - A cost containment practice that collects data after the fact via a provider assessments, reports, and claims data Case Mangement - Cost containment that uses a manager to coordinate members care in collaboration with treating providers, facilities, community resources and fam...

CEBS GBA Exam 3 Questions with Correct Answers An employee welfare benefit plan has four basis elements. What are these elements? (Mod 1.1) - Answer-1) There must be a plan, fund or program. 2) The plan, fund or program is established or maintained by an employer. 3) The plan, fund or program is for the purpose of providing specifically listed benefits, through the purchase of insurance or otherwise. 4) Benefits are provided to participants and beneficiaries. Explain how a "plan, fun...

CEBS GBA Exam 3 Questions with Correct Answers An employee welfare benefit plan has four basis elements. What are these elements? (Mod 1.1) - Answer-1) There must be a plan, fund or program. 2) The plan, fund or program is established or maintained by an employer. 3) The plan, fund or program is for the purpose of providing specifically listed benefits, through the purchase of insurance or otherwise. 4) Benefits are provided to participants and beneficiaries. Explain how a "plan, fun...

CEBS GBA Exam 3 Questions with Correct Answers An employee welfare benefit plan has four basis elements. What are these elements? (Mod 1.1) - Answer-1) There must be a plan, fund or program. 2) The plan, fund or program is established or maintained by an employer. 3) The plan, fund or program is for the purpose of providing specifically listed benefits, through the purchase of insurance or otherwise. 4) Benefits are provided to participants and beneficiaries. Explain how a "plan, fun...

Predictive Modeling and Risk Assessment - A cost containment practice that analyzes claims data and identifies high risk potentially high cost members and intervenes to avoid preventable cost Performance Measurement - A cost containment practice that collects data after the fact via a provider assessments, reports, and claims data Case Mangement - Cost containment that uses a manager to coordinate members care in collaboration with treating providers, facilities, community resources and fam...

CEBS GBA Exam 3 Questions with Correct Answers An employee welfare benefit plan has four basis elements. What are these elements? (Mod 1.1) - Answer-1) There must be a plan, fund or program. 2) The plan, fund or program is established or maintained by an employer. 3) The plan, fund or program is for the purpose of providing specifically listed benefits, through the purchase of insurance or otherwise. 4) Benefits are provided to participants and beneficiaries. Explain how a "plan, fund or...