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NEW QUESTION: 1
The following statements describe two types of HMOs:
The Elm HMO requires its members to select a PCP but allows the members to go to any other provider on its panel without a referral from the PCP.
The Treble HMO does not require its members to select a PCP. Treble allows its members to go to any doctor, healthcare professional, or facility that is on its panel without a referral from a primary care doctor.
However, care outside of Treble's network is not reimbursed unless the provider obtains advance approval from the HMO.
Both HMOs use delegation to transfer certain functions to other organizations. Following the guidelines established by the NCQA, Elm delegated its credentialing activities to the Newnan Group, and the agreement between Elm and Newnan lists the responsibilities of both parties under the agreement. Treble delegated utilization management (UM) to an IPA. The IPA then transferred the authority for case management to the Quest Group, an organization that specializes in case management.
Both HMOs also offer pharmacy benefits. Elm calculates its drug costs according to a pricing system that requires establishing a purchasing profile for each pharmacy and basing reimbursement on the profile.
Treble and the Manor Pharmaceutical Group have an arrangement that requires the use of a typical maximum allowable cost (MAC) pricing system to calculate generic drug costs under Treble's pharmacy program. The following statements describe generic drugs prescribed for Treble plan members who are covered by Treble's pharmacy benefits:
The MAC list for Drug A specifies a cost of 12 cents per tablet, but Manor pays 14 cents per tablet for this drug.
The MAC list for Drug B specifies a cost of 7 cents per tablet, but Manor pays 5 cents per tablet for this drug.
From the following answer choices, select the response that best identifies Elm and Treble:
A. Elm: direct access HMO
Treble: open access (OA) HMO
B. Elm: open access (OA) HMO
Treble: gatekeeper HMO
C. Elm: direct access HMO
Treble: gatekeeper HMO
D. Elm: open access (OA) HMO
Treble: direct access HMO
Answer: A
NEW QUESTION: 2
注：この質問は同じシナリオを提示する一連の質問の一部です。 連載の各質問には、記載されている目標を達成できる可能性のある固有の解決策が含まれています。 他の人が正しい解決策を持っていないかもしれない間、いくつかの質問セットは複数の正しい解決策を持つかもしれません。
このセクションで質問に回答した後、それに戻ることはできません。その結果、これらの質問はレビュー画面に表示されません。 あなたは新しいネットワークへのDNSの展開を計画しています。
次の表に示すように4つの内部DNSサーバーが構成されています。
注：この質問は同じシナリオを提示する一連の質問の一部です。 連載の各質問には、記載されている目標を達成できる可能性のある固有の解決策が含まれています。 他の人が正しい解決策を持っていないかもしれない間、いくつかの質問セットは複数の正しい解決策を持つかもしれません。
このセクションで質問に回答した後、それに戻ることはできません。その結果、これらの質問はレビュー画面に表示されません。 あなたは新しいネットワークへのDNSの展開を計画しています。
次の表に示すように4つの内部DNSサーバーが構成されています。
A. No
B. Yes
Answer: A
NEW QUESTION: 3
A data architect has QVD file that contains data from many countries.The data architect must write a script that loads only the data from France, and make sure the reload occurs as fast as possible.
Which script should the data architect use to meet these requirements?
A)
B)
C)
D)
A. Option D
B. Option B
C. Option A
D. Option C
Answer: B