For each of its products, the Wisteria Health Plan monitors the provider reimbursement trend and the residual trend. One true statement about these trends is that

Question

Quizplus · Accepted Answer

The provider reimbursement trend tracks changes in the amount paid to providers for services, which should be relatively straightforward for Wisteria to quantify. The residual trend is the portion of the overall trend not caused by changes in provider reimbursement levels, and is calculated by subtracting the provider reimbursement trend from the total trend. Therefore, answer B is correct. The residual trend could have more or less impact than the provider reimbursement trend, depending on the situation. Answer D is incorrect because an increase in the capitation rate paid to a PCP would be an example of a provider reimbursement trend, not a residual trend.

For Each of Its Products, the Wisteria Health Plan Monitors