The Following Statement(s) Can Correctly Be Made About Contracting and Reimbursement

question 97

Multiple Choice

The following statement(s) can correctly be made about contracting and reimbursement of specialty care physicians (SCPs) :

• A) Typically, a health plan should attempt to control utilization of SCPs before attempting to place these providers under a capitation arrangement.
• B) Forms of specialty physician reimbursement used by health plans include a retainer and a bundled case rate.
• C) Both A and B
• D) A only
• E) B only
• F) Neither A nor B

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Definitions:

Economy Shrinks

A period during which an economy experiences negative growth, leading to a reduction in production, employment, and other economic activities.

Medicare

A federal health insurance program in the United States for people aged 65 and over, as well as for some younger individuals with disabilities.

Government Expenditures

Refers to the financial spending by a government, including the funding of public services, infrastructure, and social programs.

Receipts

Documents acknowledging that a transaction has taken place and that a payment has been made or received.