The Following Statements Are About the Specialist Component of a Provider

question 38

Multiple Choice

The following statements are about the specialist component of a provider panel. Select the answer choice containing the correct statement.

• A) Ideally, a health plan should have every specialist category represented on its provider panel with appropriate geographic distribution.
• B) Most specialist contracts do not ensure the provider's adherence to UM policies set up by the health plan.
• C) No-balance-billing clauses are not desirable in health plan contracts with specialists.
• D) In geographic regions where there is a shortage of PCPs, a health plan is not permitted to contract with specialists to perform primary care services, even for patients with chronic conditions.

Distinguish between positive and negative reinforcement and their applications in work settings.

Appreciate the complexities around administering punishment and extinguishing undesired behaviors in organizational settings.

Understand the strategic application of reinforcement and punishment to shape desired behaviors in organizational settings.

Understand the concept of achievement motivation and its impact on personal success.

---

Definitions:

Job Satisfaction

The level of contentment employees feel toward their jobs, influenced by factors like the nature of the work, the working environment, and compensation.

Satisfier Factor

Elements of a job that increase employees' satisfaction and motivation, according to Herzberg's two-factor theory of motivation.

Job Content

Describes the specific duties, responsibilities, and tasks that constitute a particular job or role within an organization.

Two-Factor Theory

A psychological theory proposed by Herzberg that explains job satisfaction and motivation by differentiating between factors that cause satisfaction (motivators) and those that cause dissatisfaction (hygiene factors).