Grant Pelham Is Covered by Both a Workers' Compensation Program

question 171

Multiple Choice

Grant Pelham is covered by both a workers' compensation program and a group health plan provided by his employer. The Shipwright Health Plan administers both programs. Mr. Grant was injured while on the job and applied for benefits. The provider network that Shipwright uses to furnish services for its workers' compensation program will most likely

• A) Emphasize primary care and consist mostly of generalists
• B) Focus treatment approaches on rapid recovery rather than cost
• C) Offer workers' compensation beneficiaries the same types and levels of treatment that Shipwright's traditional network furnishes to group health plan members
• D) Exempt participating providers from meeting standard credentialing requirements

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Definitions:

Plan Of Care

A detailed plan developed by healthcare professionals outlining the treatment and services a patient will receive to address their health needs.

Community Resources

The wide range of services, supports, and facilities available within a community that can be accessed to improve the well-being of its members.

History Of Abuse

History of Abuse involves a record of past mistreatment or harm inflicted by one individual onto another, which can be physical, emotional, sexual, or psychological in nature.

Abusive Environment

An environment where individuals are subjected to harmful, violent, or demeaning behavior.