Stop-Loss Insurance Is Designed to Protect Physicians Who Face Substantial

Stop-loss insurance is designed to protect physicians who face substantial financial risk as a result of physician incentive plans. Medicare + Choice health plans must ensure that a physician has adequate stop-loss protection if the

A) physician has a patient panel that exceeds 25,000 patients
B) physician receives a bonus that is based solely on quality of care, patient satisfaction, or physician participation
C) difference between the physician's maximum potential payments and his or her minimum potential payments is less than 25% of the maximum potential payments
D) physician is subject to a withhold that is greater than 25% of his or her potential payments

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