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Question ID 17118

Health plans should monitor changes in the environment and emerging trends, because
changes in society will affect the managed care industry. One true statement regarding
recent changes in the environment in which health plans operate is that

Option A

Women as a group receive more healthcare and interact more often with health plans than do men over the course of a lifetime

Option B

The focus of healthcare during the past decade has shifted away from outpatient care to inpatient hospital treatment

Option C

The uninsured population in the United States has been decreasing in recent years

Option D

The decline in overall inflation in the 1990s failed to slow the growth in healthcare inflation

Correct Answer A
Explanation


Question ID 17119

The following statements are about market conduct examinations of health plans. Select
the answer choice that contains the correct statement.

Option A

Multistate examinations are not appropriate for financial examinations, because regulatory requirements concerning a health plan's financial condition tend to vary from state to state.

Option B

Market conduct examinations of a health plan's advertising and sales materials include comparing the advertising materials to the policies they advertise.

Option C

Once an examination report is provided to the state insurance department, a health plan is not given an opportunity to present a formal objection to the report.

Option D

In imposing sanctions on health plans, state insurance departments are required to follow federal sentencing guidelines.

Correct Answer B
Explanation

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