HCQM - CASE MANAGEMENT
ACTUAL EXAM QUESTIONS AND
ANSWERS 2026 VERIFIED.
Liberty Mutual used case management to help with this population's cost management in the
1940's. - ANS Workers' Compensation
Early public health case management efforts focused on these two areas. - ANS Psychiatry
and social work.
Following this event many insurance companies employed nurses and social workers to take
care of patients with multiple and complex injuries. - ANS World War II
Intracorp - ANS Founded by CIGNA in 1966 for workers' compensation; included both
vocational rehab and nursing care management; aimed at cost management
Health Maintenance Organization Act of 1973 - ANS Removed restrictions and provided
grants and loans to develop HMO alternatives to traditional health care
The Older Act of 1978 - ANS Resulted in case management of elders throughout the US
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 8
, Case management and utilization review for medical necessity were adopted into general
insurance pools in this decade - ANS 1980's
Case Management - ANS A cost containment tool for managing complex and catastrophically
ill and injured patients. It is considered an advanced practice of various healthcare professions.
Case Management Society of America - ANS Founded in 1995. Published the first Standards
of Practice for Case Management.
Standards of Practice for Case Management - ANS 1995, 2002, and 2010 - present core
functions, roles, responsibilities and relationships integral to professional case management
practice across the health care continuum.
Health Information Technology for Economic and Clinical Health Act of 2009 - ANS Part of the
American Recovery and Reinvestment Act of 2009, this allotted billions of dollars to the
expansion as well as the adoption of information technology to create a national network of
electronic health records.
National Transitions of Care Coalition - ANS Formed in 2006 by Case Management Society of
America and Sanofi to bring stakeholders together to address solutions and tools to address
gaps in continuity. Became and independent organization in 2012.
Patient Protection and Affordable Care Act of 2010 - ANS Provisions repeatedly focus on
coordination of care and care transition initiatives as integral to demonstration projects for
community based care transitions and outcomes reporting.
Case Management Society of America's definition of case managment - ANS A collaborative
process of assessment, planning , facilitation, care coordination, evaluation and advocacy for
options and services to meet an individual's and family's comprehensive health needs through
communication and available resources to promote quality cost-effective outcomes.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 8
ACTUAL EXAM QUESTIONS AND
ANSWERS 2026 VERIFIED.
Liberty Mutual used case management to help with this population's cost management in the
1940's. - ANS Workers' Compensation
Early public health case management efforts focused on these two areas. - ANS Psychiatry
and social work.
Following this event many insurance companies employed nurses and social workers to take
care of patients with multiple and complex injuries. - ANS World War II
Intracorp - ANS Founded by CIGNA in 1966 for workers' compensation; included both
vocational rehab and nursing care management; aimed at cost management
Health Maintenance Organization Act of 1973 - ANS Removed restrictions and provided
grants and loans to develop HMO alternatives to traditional health care
The Older Act of 1978 - ANS Resulted in case management of elders throughout the US
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 8
, Case management and utilization review for medical necessity were adopted into general
insurance pools in this decade - ANS 1980's
Case Management - ANS A cost containment tool for managing complex and catastrophically
ill and injured patients. It is considered an advanced practice of various healthcare professions.
Case Management Society of America - ANS Founded in 1995. Published the first Standards
of Practice for Case Management.
Standards of Practice for Case Management - ANS 1995, 2002, and 2010 - present core
functions, roles, responsibilities and relationships integral to professional case management
practice across the health care continuum.
Health Information Technology for Economic and Clinical Health Act of 2009 - ANS Part of the
American Recovery and Reinvestment Act of 2009, this allotted billions of dollars to the
expansion as well as the adoption of information technology to create a national network of
electronic health records.
National Transitions of Care Coalition - ANS Formed in 2006 by Case Management Society of
America and Sanofi to bring stakeholders together to address solutions and tools to address
gaps in continuity. Became and independent organization in 2012.
Patient Protection and Affordable Care Act of 2010 - ANS Provisions repeatedly focus on
coordination of care and care transition initiatives as integral to demonstration projects for
community based care transitions and outcomes reporting.
Case Management Society of America's definition of case managment - ANS A collaborative
process of assessment, planning , facilitation, care coordination, evaluation and advocacy for
options and services to meet an individual's and family's comprehensive health needs through
communication and available resources to promote quality cost-effective outcomes.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 8
