Verified By IT Certified Experts
CertsTopics.com Certified Safe Files
Up-To-Date Exam Study Material
99.5% High Success Pass Rate
100% Accurate Answers
Instant Downloads
Exam Questions And Answers PDF
Try Demo Before You Buy
The amount of risk for health plan products is dependent on the degree of influence and the relationships that the health plan maintains with its providers. Consider the following types of managed care structures:
Of these health plan products, the one that would most likely expose a health plan to the highest risk is the:
The Jamal Health Plan operates in a state that mandates that a health plan either allow providers to become part of its network or reimburse those providers at the health plan’s negotiated-contract rate, so long as the non-contract provider is willing to perform the services at the contract rate. This type of law is known as:
The following statements are about a health plan's evaluation of its responsibility centers. Select the answer choice containing the correct statement.