1. A central goal of managed care plans is to:

Control costs while coordinating quality care

Managed care seeks to control costs and coordinate care through networks, utilization review, and provider arrangements.

2. Under capitation, a provider is paid:

A set amount per member per period regardless of services used

Capitation pays providers a fixed amount per enrolled member per period to deliver covered services.

3. In an HMO, the primary care physician often acts as a gatekeeper, meaning they:

Coordinate care and authorize specialist referrals

The gatekeeper PCP coordinates the member's care and typically must authorize referrals to specialists.

4. Utilization review in a health plan is used to:

Evaluate the necessity and efficiency of care

Utilization review assesses whether services are medically necessary and delivered efficiently.