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The provider contract that Dr. Nick Mancini has with the Utopia Health Plan includes a clause that requires Utopia to reimburse Dr. Mancini on a fee-for-service (FFS) basis until 100 Utopia members have selected him as their primary care provider (PCP). At that time, Utopia will begin reimbursing him under a capitated arrangement. This clause in Dr. Mancini's provider contract is known as:
Suggested Answer: B
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9 comments · newest first
BE
Benton
1 year ago
Eligibility guarantee clause? Nah, that's not it.
LU
Lucy
1 year ago
Wait, is this really how contracts work? Seems odd.
BE
Benedict
1 year ago
Agree, it sounds like a low-enrollment guarantee to me.
JE
Jessenia
1 year ago
I thought it was a retroactive enrollment changes clause?
MI
Miesha
1 year ago
That's definitely a low-enrollment guarantee clause!
HU
Huey
1 year ago
I remember learning about this in class, but I can't recall the exact company. I'll have to make an educated guess.
VA
Valentine
1 year ago
Hmm, this looks like a tricky XSLT question. I'll need to carefully read through the XML document and the expected output to figure out the right approach.
HE
Herminia
1 year ago
I've seen questions like this before, I think I know the right approach to solve it.
VA
Van
1 year ago
This seems like a tricky one. I'll need to think through the security constraints carefully.