Which type of MCO has achieved the greatest success in employment-based enrollment?
A) HMOs
B) PPOs
C) POS plans
D) Exclusive provider plans
Correct Answer:
Verified
Q22: Review of overutilization or underutilization is undertaken
Q23: What main disadvantage does an HMO have
Q24: Physicians are employees of the HMO.
A)Preferred providers
B)IPA
Q25: Monitoring of physician-specific practice patterns.
A)concurrent utilization review
B)retrospective
Q26: PPOs were created by _ in response
Q28: When an MCO adopts capitation as the
Q29: Which HMO model is likely to provide
Q30: PPOs differentiated themselves by offering _ option
Q31: Which HMO model is likely to require
Q32: Closely associated with concurrent UR is the
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