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QUESTION 16

- (Topic 2)
Medicare Advantage product options include:

Correct Answer: C

QUESTION 17

- (Topic 2)
One way that MCOs involve providers in risk sharing is by retaining a percentage of the providers' payment during a plan year. At the end of the plan year, the MCO may use the amount retained to offset or pay for any cost overruns for referral or hospital

Correct Answer: A

QUESTION 18

- (Topic 3)
Diabetic patients with high glucose levels requiring stabilization following treatment of an acute attack would best be served in an

Correct Answer: D

QUESTION 19

- (Topic 1)
A health plan's ability to establish an effective provider network depends on the characteristics of the proposed service area and the needs of proposed plan members. It is generally correct to say that

Correct Answer: B

QUESTION 20

- (Topic 3)
Which of the following statements is true?

Correct Answer: B