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The Gardenia Health Plan has a national reputation for quality care. When Gardenia entered a new market, it established a preferred provider organization (PPO), a health maintenance organization (HMO), and a point-of-service product (POS) to serve the plan members in this market. All of the providers included in the HMO or the POS are included in the broader provider panel of the PPO. The POS will be a typical two-level POS that offers a cost-based incentive plans for PCPs, and the HMO is a typical staff model HMO.
The network strategy that Gardenia is using to establish its range of healthcare plans is known as the
Suggested Answer: B
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32 comments · newest first
LA
Laticia
11 months ago
I agree with the tiered network idea, but I'm not sure about the details.
YO
Yolande
11 months ago
Wait, how can they manage all those plans effectively?
RO
Rosendo
12 months ago
Definitely a gatekeeper approach, right?
CU
Curt
12 months ago
I think it's more of a tiered network approach.
MA
Marva
1 year ago
Sounds like a network-within-a-network approach to me.
SK
Skye
1 year ago
I feel like the preferred tier approach could be relevant here, but I need to double-check how it differs from the others we discussed in class.
TA
Tamesha
1 year ago
The tiered network approach seems like a possibility too, especially with the cost-based incentives for PCPs. I just can't recall the specifics.
JO
Josphine
1 year ago
I think this might relate to the gatekeeper approach since they have a PCP involved, but I could be mixing it up with another question we practiced.
NA
Nathan
1 year ago
I remember studying different network strategies, but I'm not entirely sure which one fits here. The term "network-within-a-network" sounds familiar.
DE
Deonna
1 year ago
I'm pretty sure this is the network-within-a-network approach, since the HMO and POS providers are a subset of the PPO network. That makes the most sense given the information provided.
KA
Kayleigh
1 year ago
Okay, I see. The PPO is the broader network, and the HMO and POS are more limited networks within that. So this is definitely the network-within-a-network approach.
FR
Freeman
1 year ago
The key details seem to be that the HMO and POS are subsets of the broader PPO network. That sounds like a network-within-a-network strategy to me.
ST
Stefania
1 year ago
Hmm, I'm a bit confused here. Is this a tiered network approach or a gatekeeper approach? I'll need to think this through carefully.
LU
Luisa
1 year ago
I think this is a network-within-a-network approach, since the HMO and POS providers are a subset of the broader PPO network.
EZ
Ezekiel
1 year ago
Wait, what exactly is the "assessment process" they're referring to? I need to make sure I understand the full scope before I can decide if it's true or false.
RI
Ricki
1 year ago
Hmm, I'm a bit unsure about this one. I know VRRPv3 has some additional features, but I can't quite recall which ones off the top of my head. I'll have to think it through or maybe even make an educated guess.
ON
Oneida
1 year ago
Based on the question, I think option B, Term Grades with Contact, is the way to go. The dean is specifically looking for students who did well in the Intro to Civil Engineering class, so that's the information we need to provide.
RA
Rachael
2 years ago
I'm just glad I don't have to navigate Gardenia's healthcare maze. I'll stick to my trusty lemonade stand, thank you very much!
DI
Dierdre
1 year ago
B) gatekeeper approach
GR
Gracie
1 year ago
C) tiered network approach
HU
Huey
1 year ago
A) network-within-a-network approach
LI
Lina
2 years ago
I'm not sure, but I think D) preferred tier approach could also be a possibility.
TR
Trinidad
2 years ago
I agree with Ronnie, the tiered network approach makes sense for Gardenia's strategy.
RO
Ronnie
2 years ago
I think the answer is C) tiered network approach.
VE
Verona
2 years ago
Frank
ST
Stephanie
1 year ago
C) tiered network approach
ST
Stephanie
1 year ago
A) network-within-a-network approach
EU
Eulah
1 year ago
C) tiered network approach
EU
Eulah
2 years ago
A) network-within-a-network approach
GO
Goldie
2 years ago
I'm not sure, but I think the answer might be A) network-within-a-network approach.
SE
Serina
2 years ago
I agree with Sue, the tiered network approach makes sense for Gardenia's range of healthcare plans.
SU
Sue
2 years ago
I think the answer is C) tiered network approach.