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The Gardenia Health Plan has a national reputation for quality care. When Gardenia entered a new market, it established a preferred provider organization (PPO), a health maintenance organization (HMO), and a point-of-service product (POS) to serve the plan members in this market. All of the providers included in the HMO or the POS are included in the broader provider panel of the PPO. The POS will be a typical two-level POS that offers a cost-based incentive plans for PCPs, and the HMO is a typical staff model HMO.
One statement that can correctly be made about Gardenia's two-level POS product is that
A. both Gardenia and the PCPs stand to benefit if the non-provider panels are kept relatively narrow
B. members will pay higher coinsurance or copayments if they first see their PCPs each time
C. members who self-refer without first seeing their PCPs will receive no benefits
D. the plan offers no financial incentives to members to choose an in-network specialist over a non-network specialist
Answer: D

NEW QUESTION: 2
When specifying, who is to provide the valuation services, the important distinction is whether the client is retaining the appraisal firm itself or the individual appraiser employed by the firm. The common practice is:
A. To retain the individual since the firm is responsible for completing the assignment regardless of impairment the individual's capability to perform the work
B. To retain firm as such practice also tends to provide discontinuity in retention of working papers and related records, marking them accessible if they are needed months or even years later as they frequently are
C. To retain the individual appraiser rather than the firm
D. To retain the firm rather than individual appraiser, even though the expert witnesses testify based upon their individual expertise and opinions
Answer: D

NEW QUESTION: 3
The data set CM has eight variables including CMTRT and is sorted by STUDYID USUBJID CMSEQ.
DATA_BB is created by selecting records from CM where the character string "BLOCKER" is included in CMTRT.

Which program was used to produce WORK.DATA_BB?
A. proc sort data=cm out=data_bb (keep=usubjid cmstdtc cmtrt);
by usubjid CMSTDTC;
where cmtrt in('BLOCKER');
run;
B. data data_bb;
set cm (keep=usubjid cmstdtc cmtrt);
by usubjid CMSTDTC;
where cmtrt in('BLOCKER');
run;
C. proc sort data=CM (keep=usubjid cmstdtc cmtrt) out=data_bb;
by usubjid CMSTDTC;
where cmtrt contains 'BLOCKER';
run;
D. data data_bb;
set cm (where=(find(cmtrt,'BLOCKER','i')>0));
by usubjid CMSTDTC;
run;
Answer: C

NEW QUESTION: 4
According to different protocols, the video system can be divied into ( ), ( ) and H.232. (Please choose 2 answers)
A. H.320
B. RTP
C. SIP
D. H.239
Answer: A,C


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