Exam (elaborations)
GBA 1 Practice Exam Questions with Solutions (Practice Exam-Straight Answers)
GBA 1 Practice Exam Questions with Solutions (Practice Exam-Straight Answers)
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GBA 1 Practice Exam Questions withSolutions (Practice Exam-Straight
Answers)
Integrated Health Systems - -Comprised of physicians, multi-specialty
physicians, entire hospitals and ancillary service providers.
-HIPAA - -Important role in protecting sensitive patient information.
-Delta Dental Plans - -Cover the largest share of the dental benefits
population
-Restorative Treatment - -Repair of a natural tooth
-Local Community - -Largest Impact on Healthcare delivery
-Life-style drug benefits? - -Routinely exluded from all plans
-Preadmission testing - -Impacts hospitol operations by allowing for more
effective use of beds and personnel.
-Plan Sponsor Self-Funded HMO - -EPO-Exclusive Provider Organization
-Subrogation clause - -Clause that allows an employer(insurer) to recieve
reimbursement when a covered employee receives money in a civil action.
-Managed Care - -Mostly used when referring to Health Maintenance
Organizations HMOs
-Pharmacy Spread - -Difference between the amount the PBM-Pharmacy
Benefit Manager collects and the amount the IBM pays out to the pharmacy.
-MBHO-Managed Behavioral Health Care Organization - -A behavior health
care carve-out program operates with a separate contract from a company.
-Which risk techniques are being used if a co. decides not to produce
something dangerous and instead gets insurance and installs a sprinkler
system? - -Avoidance, retention, insurance and control.
-Total Compensation - -All forms of direct and indirect compensation from
the employer.
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