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AHIP AHM-510 Dumps

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Governance and Regulation
Last Update: Jul 18, 2024
76 Questions with Explanation
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Governance and Regulation Practice Questions

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Governance and Regulation Questions and Answers

Questions 1

The following statements appear in the Twilight Health Plan's strategic plan:

Increase the percentage of preventive health interventions for total eligible membership during each of the next three calendar years for the following services: mammography, Pap smears, immunizations, and first trimester visits for prenatal mothers

Improve customer satisfaction on an annual basis for each of the next three calendar years, as measured by satisfaction surveys for members, providers, and employer groups

Increase by 30% the number of claims processed by the automated claim payment system and reduce by 10% the cost of paying claims during the next three years

These statements are examples of Twilight's



Corporate objectives


Company mission


Company vision


Corporate strategies

Questions 2

One provision of the Mental Health Parity Act of 1996 (MHPA) is that the MHPA prohibits group health plans from



Setting a cap for a group member's lifetime medical health benefits that is higher than the cap for the member's lifetime mental health benefits


Imposing limits on the number of days or visits for mental health treatment


Charging deductibles for mental health benefits that are higher than the deductibles for medical benefits


Imposing annual limits on the number of outpatient visits and inpatient hospital stays for mental health services

Questions 3

In the paragraph below, a statement contains two pairs of terms enclosed in parentheses.

Determine which term in each pair correctly completes the statement. Then select the answer choice containing the two terms that you have chosen.

Inflation plays a role in the health plan environment by influencing the prices of healthcare services, supplies, and coverage. During an inflationary period, consumers typically have (more / less) purchasing power because the prices of goods and services increase (more / less) quickly than income.



More / more


More / less


Less / more


Less / less