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USHC Exam 2 Questions and Correct Detailed Answers (Verified Answers)

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Question: what is the development and application of evidencebased medication use strategies to enhance member and population health outcomes while optimizing health care resources Ans: managed care pharmacy Question: what are the five "rights" in managed care pharmacy Ans: dose, drug, time, patient, price Question: why is managed care so important Ans: limited healthcare resources Question: in managed care settings, when looking at high-cost, high-value therapies, it is so valuable not only to the patient's quality of life but to the employer because it does what Ans: returns the worker to workforce Question: what impacts managed care pharmacy? 2 Master01 | 2025/2026 | Latest update Ans: formulary, rebates, network rates, copay assistance Question: what is the largest coverage group in the payers in managed care pharmacy Ans: employed (group health insurance) Question: what is the smallest coverage group in the payers in managed care pharmacy Ans: military Question: what have we seen as an outcome of the ACA (affordable care act) Ans: high deductible plans, more people insured Question: premiums paid by employees are what Ans: pretaxed Question: non-group health insurance are policies purchases directly from an 3 Master01 | 2025/2026 | Latest update Ans: insurance company

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Institution
USHCS
Course
USHCS

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USHC Exam 2 Questions and Correct Detailed
Answers (Verified Answers)
Question: what is the development and application of evidence-

based medication use strategies to enhance member and population

health outcomes while optimizing health care resources


Ans: managed care pharmacy



Question: what are the five "rights" in managed care pharmacy


Ans: dose, drug, time, patient, price



Question: why is managed care so important


Ans: limited healthcare resources



Question: in managed care settings, when looking at high-cost,

high-value therapies, it is so valuable not only to the patient's

quality of life but to the employer because it does what


Ans: returns the worker to workforce



Question: what impacts managed care pharmacy?
Master01 | 2025/2026 | Latest update

, 2



Ans: formulary, rebates, network rates, copay assistance



Question: what is the largest coverage group in the payers in

managed care pharmacy


Ans: employed (group health insurance)



Question: what is the smallest coverage group in the payers in

managed care pharmacy


Ans: military



Question: what have we seen as an outcome of the ACA (affordable

care act)


Ans: high deductible plans, more people insured



Question: premiums paid by employees are what


Ans: pretaxed



Question: non-group health insurance are policies purchases

directly from an

Master01 | 2025/2026 | Latest update

, 3



Ans: insurance company



Question: what kind of legislation are COBRA and ERISA examples of

within oversight of managed care pharmacies.


Ans: general business



Question: what kind of managed care pharmacy oversight includes

centers for medicare and medicaid services (CMS) and medicare

prescription drug improvement and modernization act (MMA)


Ans: government programs



Question: why do larger groups have the ability to provide better

benefits at lower costs


Ans: shared cost



Question: Annual premiums: single and family coverage paid by the

employee has done what over the past two decades


Ans: increased



Master01 | 2025/2026 | Latest update

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