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The Bruin Health Plan Is a Social Health Maintenance Organization

Question 103

Multiple Choice

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

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