Practice Quiz

Managed Care Nursing

Category - Healthcare Economics

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A provider group has an MCO contract that includes detailed terms and provisions. The group has decided to terminate the contract because the MCO has adjusted reimbursement rates that will have a negative impact on the group business.

What clause is critical for the provider group to breach the contract prior to the expiration date?
  1. Just cause
  2. Termination with cause
  3. Termination without cause
  4. At will
Explanation
Answer: C- The provider group who decides to breach the contract with the MCO prior to the expiration date “termination without cause” clause included in the contract.

This allows the provider to terminate without providing detailed rationale and without penalty if written as such in the contract.
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