Under the Alternative Funding Method Used by the Trilogy Company

question 156

Multiple Choice

Under the alternative funding method used by the Trilogy Company, the insurer charges Trilogy an initial premium that is based on the assumption that claims will be 93% of the expected claims for the year. If claims exceed 93% of expected claims, then Trilogy must reimburse the insurer for any additional claims paid, up to 112% of expected claims. The insurer bears the responsibility for paying claims in excess of 112% of expected claims. From the following answer choices, choose the name of the alternative funding method described.

• A) Retrospective-rating arrangement
• B) Premium-delay arrangement
• C) Reserve-reduction arrangement
• D) Minimum-premium plan

Understand the purpose and structure of team huddles and SBAR in healthcare settings.

Identify stereotypes and biases in communication and their potential impacts.

Recognize the importance of clarity, brevity, and the avoidance of ambiguity in nurse-patient communication.

Understand the basic components and models of the communication process.

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Definitions:

Hepatopancreatic Ampulla

Dilation within the major duodenal papilla that normally receives both the common bile duct and the main pancreatic duct.

Pancreatic Duct

Excretory duct of the pancreas that extends through the gland from tail to head, where it empties into the duodenum at the greater duodenal papilla.

Common Bile Duct

Duct formed by the union of the common hepatic and cystic ducts; it empties into the small intestine.

Nutrient Absorption

The process by which the digestive system absorbs essential nutrients from food into the bloodstream.