To facilitate electronic commerce (eCommerce), a health plan may establish a secured extranet. One true statement about a secured extranet is that it is
Economically, health plans cannot provide coverage for every drug available from every manufacturer. As a result, purchaser contracts often include provisions specifying that certain drugs or drug types will not be covered. These provisions are referred to as
The following statements are about risk management for case management. Three of the statements are true and one is false. Select the answer choice containing the FALSE statement.
The following statement(s) can correctly be made about the use of screening for secondary prevention:
1. Screening activities may involve specialty care providers as well as primary care providers (PCPs) and the health plan
2. Secondary prevention often results in more utilization of services immediately following screening
3. Screening focuses on members who have not experienced any symptoms of a particular illness
TESTED 22 Dec 2024
