The following statements can correctly be made about the advantages and disadvantages to an health plan of using the various delivery options for pharmacy services.
A) A disadvantage of using open pharmacy networks is that the health plan's control over costs is limited to setting reimbursement levels.
B) An advantage of using performance-based systems is that they tend to increase participation in the health plan's pharmacy network.
C) A disadvantage of using customized pharmacy networks is that these networks typically can be implemented only in companies with fewer than 500 employees.
D) All of these statements are correct.

Question

Quizplus · Accepted Answer

Open pharmacy networks limit the health plan's control over costs to setting reimbursement levels, as they allow members to use any pharmacy, reducing the plan's ability to negotiate better pricing or manage utilization effectively.

The Following Statements Can Correctly Be Made About the Advantages