The Atoll Health Plan Must Comply with a Number of Laws

question 97

Multiple Choice

The Atoll Health Plan must comply with a number of laws that directly affect the plan's contracts. One of these laws allows Atoll's plan members to receive medical services from certain specialists without first being referred to those specialists by a primary care provider (PCP) . This law, which reduces the PCP's ability to manage utilization of these specialists, is known as _________.

• A) A due process law
• B) An any willing provider law
• C) A direct access law
• D) A fair procedure law

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Definitions:

Equilibrium Price

The price at which the quantity of a good demanded by consumers balances the quantity supplied by producers, resulting in a stable market condition.

Suppliers

Businesses or individuals that provide goods or services to another entity, often in exchange for monetary compensation.

Surpluses

Occurs when the quantity supplied of a product exceeds the quantity demanded, often leading to a drop in prices.

Price Up

An increase in the cost of goods or services in the market.