Access to Care 2

Front

What are the 4 categories for Access to Care Issues?

Back

1. Geographic/Informational Issues 2. Issues related to appointment availability 3. Issues occurred during the appointment 4. Issues related to Clinical Continuity

Front

What type of issue is expressed when a member says, 'I called the providers from the list, and they are not accepting new patients'?

Back

Issue related to appointment availability

Front

What documentation should be used to confirm if Dr. Smith is in network with a member's plan?

Back

Tagging Dr. Smith in the provider task and noting that the provider's full name is PAR with the member's plan.

Front

What is an example of an issue related to appointment availability?

Back

Member has difficulty scheduling an appointment within a reasonable time frame.

Front

What is an example of an issue that occurred during the appointment?

Back

Long wait times.

Front

Define Geographic/Informational Issues in Access to Care.

Back

Challenges related to the location of providers and the availability of information about them.

Front

What does Clinical Continuity refer to in healthcare access?

Back

The ongoing relationship between a patient and their healthcare provider, ensuring consistent care.

Front

What is the significance of appointment availability in Access to Care?

Back

It determines how easily a member can schedule a visit with a provider.

Front

What might be a consequence of long wait times during an appointment?

Back

Patient dissatisfaction and potential delays in receiving necessary care.

Front

How can members verify if a provider is in-network?

Back

By checking the provider list on their insurance company's website or contacting customer service.