The Actual Number of Providers Included in a Provider Network

question 177

Multiple Choice

The actual number of providers included in a provider network can be based on staffing ratios. One true statement about staffing ratios is that, typically:

• A) A small health plan needs fewer physicians per 1,000 than does a large plan.
• B) A closely managed health plan requires fewer providers than does a loosely managed plan.
• C) Physician-to-enrollee ratios can be used directly only by network-within-a-network model HMOs.
• D) Medicare products require fewer providers than do employer-sponsored plans of the same size.

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Definitions:

Pons

A structure located in the brainstem, critical for regulating breathing, relaying signals from the forebrain to the cerebellum, and for sleep and arousal.

Split Brain

A condition resulting from surgery that separates the brain's two hemispheres, affecting transfer of information.

Corpus Callosum

The large band of neural fibers connecting the two hemispheres of the brain, facilitating communication between them.