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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 # 81

Specialty services that have certain characteristics generally are good candidates for managed care approaches. These characteristics generally include that the specialty service should have

A.

appropriate, rather than inappropriate, utilization

B.

a defined patient population

C.

low, stable costs

D.

a benefit that cannot be easily defined

Question # 82

Paul Gilbert has been covered by a group health plan for two years. He has been undergoing treatment for angina for the past three months. Last week, Mr. Gilbert began a new job and immediately enrolled in his new company's group health plan, which has a

A.

Can exclude coverage for treatment of Mr. Gilbert's angina for one year, because HIPAA does not impact a group health plan's pre-existing condition provision.

B.

Can exclude coverage for treatment of Mr. Gilbert's angina for one year, because Mr. Gilbert did not have at least 36 months of creditable coverage under his previous health plan.

C.

Can exclude coverage for treatment of Mr. Gilbert's angina for three months, because that is the length of time he received treatment for this medical condition prior to his enrollment in the new health plan.

D.

Cannot exclude his angina as a pre-existing condition, because the one-year pre-existing condition provision is offset by at least one year of continuous coverage under his previous health plan.

Question # 83

PBM plans operate under several types of contractual arrangements. Under one contractual arrangement, the PBM plan and the employer agree on a target cost per employee per month. If the actual cost per employee per month is greater than the target cost, t

A.

fee-for-service arrangement

B.

risk sharing contract

C.

capitation contract

D.

rebate contract

Question # 84

The Mosaic health plan uses a typical electronic medical record (EMR) to document the medical care its members receive. One characteristic of Mosaic's EMR is that it:

A.

Does not provide any clinical decision support for Mosaic's providers.

B.

Is designed to supply information at the site of care.

C.

Contains a Mosaic member's clinical data only.

D.

Is organized by the type of treatment or by provider.

Question # 85

Which of the following is(are) CORRECT?

(A) Staff model HMOs can achieve maximum economies of scale but are heavily capital intensive.

(B) Staff model HMOs are closed panel.

(C) Staff model HMOs operate out of ambulatory care facilities.

A.

A & B

B.

None of the listed options

C.

B & C

D.

All of the listed options

Question # 86

Health plans often carve out specialty services that have one or more of the following characteristics

A.

A poorly defined patient population

B.

High or increasing costs

C.

Appropriate utilization

D.

All the above

Question # 87

Maternity management programs are commonly included in?

A.

Screening Programs

B.

Health promotion Programs

C.

Immunization programs

Question # 88

The Granite Health Plan is a coordinated care plan (CCP) that participates in the Medicare+Choice program. This information indicates that Granite

A.

must comply with all state-mandated benefits and provider requirements

B.

must offer each of its enrollees a Medicare supplement

C.

places primary care t the censer of the delivery system and focuses on managing patient care at all levels

D.

most likely must cover Medicare Part A, but not Medicare Part B, benefits

Question # 89

The Helm MCO segmented the non-group market for its new healthcare product by using factors such as education level, gender, and household composition. The Amberly MCO segmented the non-group market for its products based on the approaches by which it sol

A.

demographic product or benefit

B.

geographic distribution channel

C.

demographic distribution channel

D.

geographic product or benefit

Question # 90

One among the following is a reason that limit access to health care for US people.

A.

Life Style of the people

B.

Concentration of physicians in highly populated areas.

C.

Advancement in information technology

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