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Câu 21: AHM-530: Network Management

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 H…

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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. The network strategy that Gardenia is using to establish its range of healthcare plans is known as the:

Các lựa chọn

Đáp án được giữ gọn theo nhãn A, B, C, D trong phần bình chọn tương tác.

  1. A. network-within-a-network approach — đáp án hiện tại
  2. B. gatekeeper approach
  3. C. tiered network approach
  4. D. preferred tier approach

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