The two basic approaches that Medicaid uses to contract with health plans are open contracting and selective contracting. One true statement about these approaches to contracting is that:
The key here is understanding the differences between the two approaches. Open contracting is about meeting standards, while selective contracting is about competitive bidding. I'm going to carefully consider each option and eliminate the ones that don't fit.
Okay, this seems straightforward. I'm pretty confident that the correct answer is D - selective contracting requires health plans to bid competitively for Medicaid contracts.
I think I know the difference between open and selective contracting, but I want to make sure I understand the details before I answer this. Let me re-read the question carefully.
Hmm, I'm a little unsure about this one. I know open contracting has to do with meeting performance standards, but I can't quite remember how that compares to selective contracting. I'll have to think this through step-by-step.
C) Selective contracting requires any health plan that meets the state's performance standards and the federal Medicaid requirements to enter into a Medicaid contract
Matthew
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