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AHIP AHM-250 Dumps

Exam Code:
AHM-250
Exam Name:
Healthcare Management: An Introduction
Last Update: Dec 8, 2024
367 Questions
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Healthcare Management: An Introduction Questions and Answers

Questions 1

Before the Leo Health Maintenance Organization (HMO) received a certificate of authority (COA) to operate in State X, it had to meet the state's licensing requirements and financial standards which were established by legislation that is identical to the

Options:

A.

receive compensation based on the volume and variety for medical services they perform for Leo plan members, whereas the specialists receive compensation based solely on the number of plan members who are covered for specific services

B.

have no financial incentive to practice preventive care or to focus on improving the health of their plan members, whereas the specialists have a positive incentive to help their plan members stay healthy

C.

receive from the IPA the same monthly compensation for each Leo plan member under the PCP's care, whereas the specialists receive compensation based on a percentage discount from their normal fees

D.

receive compensation based on a fee schedule, whereas the specialists receive compensation based on per diem charges

Questions 2

Bart Vereen is insured by both a traditional indemnity health insurance plan, which is his primary plan, and a managed care plan. Both plans have a typical coordination of benefits (COB) provision, but neither plan has a nonduplication of benefits provision

Options:

A.

380

B.

130

C.

0

D.

550

Questions 3

All CDHP products provide federal tax advantages while allowing consumers to save money for their healthcare.

Options:

A.

True

B.

False