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NEW QUESTION: 1
The method that the Autumn Health Plan uses for reimbursing dermatologists in its provider network involves paying them out of a fixed pool of funds that is actuarially determined for this specialty. The amount of funds that Autumn allocates to dermatologists is based on utilization and costs of services for that discipline.
Under this reimbursement method, a dermatologist who is under contract to Autumn accumulates one point for each new referral made to the specialist by Autumn's PCPs. If the referral is classified as complicated, then the dermatologist receives 1.5 points. The value of Autumn's dermatology services fund for the first quarter was $15,000. During the quarter, Autumn's PCPs made 90 referrals, and 20 of these referrals were classified as complicated.
Autumn's method of reimbursing specialty providers can best be described as a
A. Withhold arrangement
B. Contact capitation arrangement
C. Risk adjustment arrangement
D. Disease-specific arrangement
Answer: B
NEW QUESTION: 2
Answer:
Explanation:
Explanation
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NEW QUESTION: 3
Refer to the exhibit.
In the accompanying exhibit, SH3 and SH4 are able to optimize FTP and HTTP sessions between Client41 and the respective application hosts Server31 and Server32.However, optimization does not happen for Client42 and these application hosts. A quick check on SH3 and SH4 registers neither optimized nor pass-through traffic from Client42.Client42 is able to ping Client41 and the in-path address of SH4.Note that SH3 and SH4 are in auto-discovery mode.What is the likely cause?
A. The default gateway of SH3 is configured wrong
B. The default gateway of Client42 is configured wrong
C. The default gateway of SH4 is configured wrong
D. The routing protocol between R3 and R4 is configured wrong
E. The default gateway of Client41 is configured wrong
Answer: B
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