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The Atoll Health Plan must comply with a number of laws that directly affect the plan's contracts. One of these laws allows Atoll's plan members to receive medical services from certain specialists without first being referred to those specialists by a primary care provider (PCP). This law, which reduces the PCP's ability to manage utilization of these specialists, is known as _________.
The following information was presented on one of the financial statements prepared by the Rouge Health Plan as of December 31, 1998:
Rouge's current ratio at the end of 1998 was approximately equal to:
The Harp Company self-funds the health plan for its employees. The plan is administered under a typical administrative-services-only (ASO) arrangement. One true statement about this ASO arrangement is that
A cost for which a benefit is forfeited in choosing one decision alternative over another alternative is known as
