Which financial method is considered a strategy for cost containment in managed care?

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The correct answer is preadmission certification, which plays a significant role in cost containment strategies within managed care systems. Preadmission certification involves the authorization process that requires healthcare providers to obtain approval from a managed care organization before a patient is admitted to a hospital. This process helps ensure that only patients who genuinely need inpatient care are admitted, which can significantly reduce unnecessary hospitalizations and associated costs.

By implementing preadmission certification, managed care organizations can monitor and manage the utilization of healthcare services. This not only controls costs but also encourages the use of alternative treatment options or outpatient services when appropriate, thus avoiding more substantial expenses associated with hospital stays. It effectively establishes a checkpoint to determine the medical necessity of the proposed inpatient services.

In contrast, financial planning certification and inpatient out-of-pocket limits do not specifically target the operational aspects of cost containment in managed care. Financial planning certification pertains more to individual financial readiness and not directly to managing healthcare costs. Inpatient out-of-pocket limits are measures designed to protect patients from excessive out-of-pocket expenses rather than being a proactive cost containment strategy within managed care. Chronic disease management is focused on providing coordinated care for individuals with long-term conditions but does not directly address cost containment in the same way that preadmission certification does.

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