Question

instructions: select the most appropriate response.
which of these was implemented to create flexibility in managed care plans, which would allow patients to self - refer to out - of - network providers?
a. point - of - service plan (pos)
b. customized sub - capitation plan (cscp)
c. preferred provider organization (ppo)
d. competitive medical plan (cmp)

Explanation:

A Point - of - Service (POS) plan allows patients to self - refer to out - of - network providers. In a POS plan, members can choose to see providers within the network (usually with lower costs) or out - of - network providers (with higher out - of - pocket costs but more flexibility).
Preferred Provider Organizations (PPOs) also have some flexibility but typically require some form of pre - approval or have different cost - sharing rules rather than simple self - referral. Customized sub - capitation plans (CSCPs) are more about payment arrangements among providers and not directly about patient self - referral to out - of - network. Competitive medical plans (CMPs) is a more general term and not specifically known for the self - referral to out - of - network feature described.

Answer:

a. Point - of - service plan (POS)