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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.
To calculate its drug costs, Elm uses a pricing system known as:
A. Actual acquisition cost (AAC)
B. Wholesale acquisition cost (WAC)
C. Package rate cost (PRC)
D. Estimated acquisition cost (EAC)
Answer: D
NEW QUESTION: 2
Solutions Architect는 Amazon EC2 인스턴스에서 실행되는 웹 응용 프로그램을 디자인하고 있습니다. 응용 프로그램은 DynamoDB에 데이터를 저장합니다. Architect는 DynamoDB 테이블에 대한 액세스를 보호해야 합니다.
안전한 승인을 얻기 위해 AWS가 권장하는 단계는 무엇입니까? (둘을 선택하십시오.)
A. Amazon EC2 인스턴스에 IAM 정책을 첨부합니다.
B. Amazon EC2 인스턴스에 Dynamo DB 테이블에 대한 권한이 있는 액세스 키를 저장하십시오.
C. Amazon EC2 인스턴스에 IAM 역할을 연결합니다.
D. IAM 사용자를 Amazon EC2 인스턴스에 연결합니다.
E. DynamoDB 테이블에 쓸 수 있는 권한이 있는 IAM 역할을 만듭니다.
Answer: B,E
NEW QUESTION: 3
EEにはいくつのApp Exchangeアプリをインストールできますか?
A. 0
B. 1
C. 2
D. 3
Answer: D