An Health Plan's Contract Negotiation Team Consists of Several Skilled

question 29

Multiple Choice

An health plan's contract negotiation team consists of several skilled individuals from different areas. At least one of the members is responsible for evaluating the wording of specific clauses to ensure that the health plan's rights are protected, as well as to ensure that the contract is in compliance with state and federal regulation. By profession, this member of the contract negotiation team is typically

• A) Amedical director
• B) An attorney
• C) Afinancial manager
• D) Aclaims manager

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Definitions:

Obsessive-Compulsive Disorder

A mental health disorder characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions) that one feels driven to perform.

Psychotherapy

A therapeutic treatment method used by trained professionals to help individuals understand and resolve their problems by talking through them.

Behavioral Therapeutic Technique

A range of treatments based on the principles of behaviorism and cognitive psychology, aimed at changing maladaptive or unwanted behaviors.

Biological Treatment

Treatments that address psychiatric disorders or diseases through physical interventions, such as medications or surgery.