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Healthcare Management: An Introduction

Last Update 4 hours ago Total Questions : 367

The Healthcare Management: An Introduction content is now fully updated, with all current exam questions added 4 hours ago. Deciding to include AHM-250 practice exam questions in your study plan goes far beyond basic test preparation.

You'll find that our AHM-250 exam questions frequently feature detailed scenarios and practical problem-solving exercises that directly mirror industry challenges. Engaging with these AHM-250 sample sets allows you to effectively manage your time and pace yourself, giving you the ability to finish any Healthcare Management: An Introduction practice test comfortably within the allotted time.

Question # 21

Two MCOs in a single service area divided purchasers into two groups and agreed to each market their products to only one purchaser group. This information indicates that these two MCOs violated antitrust requirements because they engaged in an activity k

A.

horizontal group boycott

B.

horizontal division of markets

C.

a tying arrangement

D.

price fixing

Question # 22

The Mabry County Hospital negotiated a contract with Wellfolk HMO. Mabry negotiated the inclusion of a provision in the contract whereby Mabry agreed to capitated compensation from Wellfolk up to a specified total cost of providing medical services for an

A.

quality assurance provision

B.

performance-based financial provision

C.

dual-choice provision

D.

stop-loss provision

Question # 23

One way in which a health plan can support an ethical environment is by

A.

requiring organizations with which it contracts to adopt the plan's formal ethical policy

B.

developing and maintaining a culture where ethical considerations are integrated into decision making at the top organizational level only

C.

establishing a formal method of managing ethical conflicts, such as using an ethics task force or bioethics consultant

D.

maintaining control of policy development by removing providers and members from the process of developing and implementing policies and procedures that provide guidance to providers and members confronted with ethical issues

Question # 24

One ethical principle in health plans is the principle of non-malfeasance, which holds that health plans and their providers:

A.

Should allocate resources in a way that fairly distributes benefits and burdens among the members.

B.

Have a duty to present information honestly and are obligated to honor commitments.

C.

Are obligated not to harm their members.

D.

Should treat each plan member in a manner that respects his or her goals and values.

Question # 25

From the following answer choices, choose the description of the ethical principle that best corresponds to the term Autonomy

A.

Health plans and their providers are obligated not to harm their members

B.

Health plans and their providers should treat each member in a manner that respects the member's goals and values, and they also have a duty to promote the good of the members as a group

C.

Health plans and their providers should allocate resources in a way that fairly distributes benefits and burdens among the members

D.

Health plans and their providers have a duty to respect the right of their members to make decisions about the course of their lives

Question # 26

The act which requires each group health plan to allow employees and certain dependents to continue their group coverage for a stated period of time following a qualifying event that causes the loss of group health coverage is:

A.

ERISA

B.

COBRA

Question # 27

Because many patients with behavioral health disorders do not require round-the-clock nursing care and supervision, behavioral healthcare services can be delivered effectively in a variety of settings. For example, post-acute care for behavioral health di

A.

Hospital observation units or psychiatric hospitals.

B.

Psychiatric hospitals or rehabilitation hospitals.

C.

Subacute care facilities or skilled nursing facilities.

D.

Psychiatric units in general hospitals or hospital observation units.

Question # 28

The process of identifying and classifying the risk represented by an individual or group is called

A.

Rating

B.

Anti selection

C.

Underwriting

D.

None of the above

Question # 29

As part of its utilization management (UM) system, the Poplar MCO uses a process known as case management. The following statements describe individuals who are Poplar plan members:

    Brad Van Note, age 28, is taking many different, costly medications for

A.

Mr. Van Note, Mr. Albrecht, and Ms. Cromartie

B.

Mr. Van Note and Ms. Cromartie only

C.

Mr. Van Note and Mr. Albrecht only

D.

Mr. Albrecht and Ms. Cromartie only

Question # 30

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

A.

380

B.

130

C.

0

D.

550

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