Câu 31: AHM-530: Network Management

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

1. A. Ideally, a health plan should have every specialist category represented on its provider panel with appropriate geographic distribution. — đáp án hiện tại
2. B. Most specialist contracts do not ensure the provider's adherence to UM policies set up by the health plan.
3. C. No-balance-billing clauses are not desirable in health plan contracts with specialists.
4. 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.