The Bruin Health Plan is a Social Health Maintenance Organization (SHMO) . As an SHMO, Bruin:
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long- term care benefits
B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO
C) Receives a payment that is based on reasonable costs and reasonable charges
D) Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's goals is to minimize the use of community-based care
Correct Answer:
Verified
Q98: The provider contract that Dr. Nick Mancini
Q99: The Tuba Health Plan recently underwent an
Q100: The Enterprise Health Plan has indicated an
Q101: The following statements describe two types of
Q102: One true statement about the Medicaid program
Q104: Under the compensation arrangement that the Falcon
Q105: The employees of the Trilogy Company are
Q106: One characteristic of the workers' compensation program
Q107: In health plan pharmacy networks, service costs
Q108: Although ambulatory payment classifications (APCs) bear some
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents