Closed-panel plan.
A) No new physicians can be added to the plan
B) New enrollees are not accepted by the plan
C) The enrollee cannot switch from one plan to another
D) The enrollee is restricted to the providers on the panel
Correct Answer:
Verified
Q9: Under which payment method is a fee
Q10: Discounted fees are
A)discounted capitated fees
B)used to shift
Q11: An experienced health care professional, such as
Q12: In the term, managed care, 'manage' refers
Q13: Which of the following is not used
Q15: Prospective utilization review includes
A)precertification
B)discharge planning
C)review of medical
Q16: Gatekeeping _ secondary care services.
A)bypasses
B)encompasses the delivery
Q17: What is the purpose of risk sharing
Q18: Concurrent UR in a hospital will be
Q19: Gatekeeping heavily depends on the services of
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