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2 years ago

What must be explained to consumers enrolling in an HMO (Health Maintenance Organization) MA Plan? (Select 3)

1 answer:

lisabon 2012 [21]2 years ago

8 0

They must be told that; To get coverage under the plan, clients must visit participating providers inside the network; otherwise, they will be responsible for the full cost of the service.

Urgent care, emergency care, and renal dialysis treatments are the only exceptions to the provider network requirement. This is further explained below.

<h3>What is a health maintenance organization (HMO)?</h3>

Generally, A health maintenance organization (HMO) is a kind of health insurance plan that offers health care via a network of physicians in exchange for a monthly or yearly charge.

In conclusion, Clients must be informed that they will only be eligible for plan benefits if they get care from in-network participating providers.

There are a few exceptions to having a provider network, and they include urgent care, emergency care, and renal dialysis treatments. More detail about this is provided below.

Read more about health maintenance organization (HMO)

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A marriage might look quite unequal to an outsider, with one partner appearing to rely disproportionally on the support of the o

zhuklara [117]

The married couple probably does not mind outsiders thinking this of them because the married couple actually knows what is happening in their relationship. While it may appear to others that there is inequity, the couple knows the truth of their relationship and therefore does not let other people's opinions affect them.

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4 years ago

what are the three most important ethical principles that you feel organizations should adhere to in terms of their staffing phi

Alja [10]

Answer:

fairness,
honesty,
integrity

Explanation:

The three most important ethical principles that should guide all organizational activities are fairness, honesty and integrity. Currently we live in a globalized and multicultural business scenario, where there is an intense flow of information and a lot of competitiveness, so it is necessary that organizations seek to adapt their strategic planning to this new reality, where corporate governance is an essential parameter of relationship with a company by many stakeholders.

The fairness, honesty and integrity of the company will help it to maintain an internal environment focused on the development of skills and an organizational culture based on ethics and respect for all employees, regardless of their individual values or hierarchical position. These ethical principles will also help the organization to have a good image in the market, to attract greater reliability and transparency in the processes.

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3 years ago

Suppose the demand function (D) for golf clubs is: Qequals150minus1.00P, where P is the price paid by consumers in dollars pe

nadya68 [22]

Answer:

P = $75 per club

n= 75,000 clubs

Explanation:

The demand and supply functions are:

$(D): Q=150-1.00P\\(S): Q=1.00P\\$

The equilibrium price is the price that yields a quantity demanded equal to the quantity supplied:

$150-1.00P=1.00P\\P=\frac{150}{2}\\P=\$75$

The number of units sold at that price is:

$n=1,000*(1.00*75)\\n=75,000\ units$

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3 years ago

If GNP is $200 billion, receipts of factor income from the rest of the world are $10 billion, and payments of factor income to t

PSYCHO15rus [73]

Answer:

$220 billion

Explanation:

GNP is $200 billion

Factor income from the rest of the world is $10 billion

Factor income to the rest of the world is $30 billion

Therefore the GDP can be calculated as follows

= $200 billion + (30 billion- 10billion)

= $200 billion + 20 billion

= $220 billion

Hence the GDP is $220 billion

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3 years ago

Top managers of are alarmed by their operating losses. They are considering dropping the laminate flooring product line. Company

vivado [14]

Answer:

Blue-ray discs Blue-ray discs Differential

and DVD discs only amount

Sales Revenue $432,000 $305,000 $127,000

Variable Costs ($246,000) ($150,000) ($96,000)

Contribution M. $186,000 $155,000 $31,000

Fixed Costs:

Manufacturing ($128,000) ($128,000) $0
S&A expenses ($67,000) ($67,000) $0

Operating Income ($9000) ($40,000) $31,000

b) Will dropping DVDs add $41,000 to the operating income?

No, dropping the DVDs product line will decrease operating income by $31,000, resulting in a total loss of $40,000. Even though the DVDs product line by itself is not profitable, it absorbs a large percentage of the fixed costs and if you get rid of it, all the fixed costs will be absorbed by the Blue-rays product line.

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3 years ago