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The National Association of Insurance Commissioners (NAIC) developed the Small Group Model Act to enable small groups to obtain accessible, yet affordable, group health benefits. The model law limits the rate spread, which is the difference between the highest and lowest rates that a health plan charges small groups, to a particular ratio.
According to the Model Act, for example, if the lowest rate an HMO charges a small group for a given set of medical benefits is $40, then the maximum rate the HMO can charge for the same set of benefits is
The scandent Health Group contracted with the Empire Corporation to provide behavioral healthcare services to.
Empire employees. As a condition of providing behavioral healthcare services, scandent required Empire to contract with scandent for basic medical services scandent's actions constituted the type of antitrust violation known as a
The following statements are about the various Health Plan Accountability Models adopted by the NAIC.
Diabetic patients with high glucose levels requiring stabilization following treatment of an acute attack would best be served in an ___________
Which facility would best meet the need of Jack who fell on road and sprained his ankle?
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