Federal Law Addresses the Relationship Between Medicare- or Medicaid Contracting

Federal law addresses the relationship between Medicare- or Medicaid contracting health plans and providers who are at "substantial financial risk." Under federal law, Medicare- or Medicaid-contracting health plans

A) Place a provider at "substantial risk" whenever incentive arrangements put the provider at risk for amounts in excess of 10% of his or her total potential reimbursement for providing services to Medicare and Medicaid enrollees 23
B) Must provide stop-loss coverage to a provider who is placed at "substantial financial risk" for services that the provider does not directly provide to Medicare or Medicaid enrollees
C) Both A and B
D) A only
E) B only
F) Neither A nor B