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NEW QUESTION: 1
Arthur Dace, a plan member of the Bloom health plan, tried repeatedly over an extended period to schedule an appointment with Dr. Pyle, his primary care physician (PCP). Mr. Dace informally surveyed other Bloom plan members and found that many people were experiencing similar problems getting an appointment with this particular provider. Mr. Dace threatened to take legal action against Bloom, alleging that the health plan had deliberately allowed a large number of patients to select Dr. Pyle as their PCP, thus making it difficult for patients to make appointments with Dr.
Pyle. Bloom recommended, and Mr. Dace agreed to use, an alternative dispute resolution (ADR) method that is quicker and less expensive than litigation. Under this ADR method, both Bloom and Mr. Dace presented their evidence to a panel of medical and legal experts, who issued a decision that Bloom's utilization management practices in this case did not constitute a form of abuse. The panel's decision is legally binding on both parties. Different types of compensation arrangements in managed care plans, from fee-for-service (FFS) arrangements to capitation arrangements, lead to different types of fraud and abuse. From the answer choices below, select the response that identifies the form of abuse in which Bloom is allegedly engaging, according to Mr. Dace's complaint, and whether this form of abuse is more likely to occur in FFS compensation arrangements or in capitation arrangements.
A. Type of abuse underutilization
Type of compensation arrangement capitation arrangement
B. Type of abuse overutilization
Type of compensation arrangement FFS arrangement
C. Type of abuse underutilization
Type of compensation arrangement FFS arrangement
D. Type of abuse overutilization
Type of compensation arrangement capitation arrangement
Answer: A
NEW QUESTION: 2
The General Electric (GE) portfolio model for competitive analysis of strategic business units (SBUs) should be compared with the Boston Consulting Croup's growth-share matrix. The GE model:
A. Considers such factors for business strength as market size, growth rate, and price levels.
B. Calculates an index for each of its two variables.
C. Considers such factors for market attractiveness as market share, growth rate, and marketing skills.
D. Is a matrix with two variables:relative market share and market growth rate.
Answer: B
Explanation:
The GE model is a multifactor portfolio matrix with two variables. Business strength or competitive position (BUS) is on one axis, and market attractiveness (MAT) is on the other. BUS is classified as strong, medium, or weak, and MAT is classified as high, medium, or low. Thus, the matrix in this model is 3 x 3 and has nine cells. SBUs are shown in the matrix as circles. Circle size is directly proportional to the size of the related market, with a shaded portion in the circle that represents the SBU's market share. To measure BUS and MAT, the firm must isolate the multiple factors affecting each, quantify them, and create an index. Factors will vary with each business. The measurements will provide the values on the axes of the matrix.
NEW QUESTION: 3
What is the effect of a snapshot rollback on a clone?
A. The clone may disappear if the snapshot being rolled back was taken prior to the clone's original snapshot.
B. If the clone was promoted prior to the snapshot rollback, no impact will be noticed.
C. There is no effect.
D. Performance may be impacted during the snapshot rollback because the system restores the original blocks of the share.
Answer: B