Question: Can a managed care organization or a PBM be able to limit the number of health care providers ( in the case of a PBM

Can a managed care organization or a PBM be able to limit the number of health care providers ( in the case of a PBM the number of pharmacies)in its network?

Step by Step Solution

There are 3 Steps involved in it

1 Expert Approved Answer
Step: 1 Unlock blur-text-image
Question Has Been Solved by an Expert!

Get step-by-step solutions from verified subject matter experts

Step: 2 Unlock
Step: 3 Unlock

Students Have Also Explored These Related Law Questions!

Q:

Should a managed care organization or a PBM be able to limit the number of health care providers ( in the case of a PBM the number of pharmacies)in its network? Why or Why not?

Q:

Then, explain (write up) the healthcare policy you have selected to research. Explain why it is significant and relevant. It is suggested that you use some numbers here, e.g., total number of people...

Q:

Answer from your tutor: Report this answer ninaricabustalinoActivemore than 1 day ago By contrast, statutes and regulations are written abstractly. Case law, also used interchangeably with common...

Q:

Questions are listed on the 12th page (last page). Thank you! COMMONWEALTH 2 HEALTH PLANS ASSESSING HMO PERFORMANCE COMMONWEALTH HEALTH PLANS is one of Virginia's largest man- aged care organizations...

Q:

Study Guide HI231 Review -Sayles chapters 1-6 review questions in check your understanding, look up definition for medical terminology located in back of your book. Castro chapters 1-5 1. What type...

Q:

Analyze the potential merger of this hospital with Lafayette General. You may want to consider culture, strategies, specialities and services that both hospitals offer. After completing this...

Q:

Analyze the potential merger of this hospital with Lafayette General. You may want to consider culture, strategies, specialities and services that both hospitals offer. After completing this...

Q:

Analyze the potential merger of this hospital with Lafayette General. You may want to consider culture, strategies, specialities and services that both hospitals offer. After completing this...

Q:

Assuming that Mrs. Smith meets Medicare criteria for the services described here, how many days of SNF care is Mrs. Smith entitled to during her most recent stay (assume that she qualifies for the...

Q:

Old MathJax webview St. Joseph Teaching Hospital Case The patient base of Lexington County, South Carolina, is currently served by three hospitals: (1) St. Josephs Teaching Hospital, a...

Q:

A company sell vehicles for Ksh 6 million each and provides 3 years' warranty on the engine of the car which cost is around sh 800,000. The company has sold 5400 units; the company has to estimate...

Q:

A wire having a mass per unit length of 0.500 g/cm carries a 2.00-A current horizontally to the south. What are the direction and magnitude of the minimum magnetic field needed to lift this wire...

Q:

7 Find the midpoint of the line segment joining each pair of points. a (4, 2) and (10, 12) b (5,-3) and (-3, -7) C (-6, 8) and (8, -6).

Q:

Case:Is My Supervisor Unethical? A . What immediate actions should Patrick take? What would you do if you were in his position? B . How is Tiffany being unethical? Could this be a mistake? C . What...

Q:

2. How can the expectations we have of a person contribute to the image we have of him / her? Give some examples from your own everyday life.

Q:

9. Discuss the statement: If the actors mainly act on the basis of a view of human-ity as driven by self-interest, and incorporate this idea into their models, they may end up with their premises...

Q:

5. What does it mean when we say the evaluation comes before the presenta-tion?.