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AHM-250 Healthcare Management: An Introduction is now Stable and With Pass Result | Test Your Knowledge for Free

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AHM-250 Practice Questions

Healthcare Management: An Introduction

Last Update 12 hours ago
Total Questions : 367

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Question # 51

One typical characteristic of an integrated delivery system (IDS) is that an IDS.

Options:

A.  

Is more highly integrated structurally than it is operationally.

B.  

Provides a full range of healthcare services, including physician services, hospital services, and ancillary services.

C.  

Cannot negotiate directly with health plans, plan sponsors, or other healthcare purchasers.

D.  

Performs a single business function, such as negotiating with health plans on behalf of all of the member providers.

Discussion 0
Question # 52

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

Options:

A.  

fee-for-service arrangement

B.  

risk sharing contract

C.  

capitation contract

D.  

rebate contract

Discussion 0
Question # 53

Medicare Part C can be delivered by the following Medicare Advantage plans:

Options:

A.  

HCCP, HMO, PPO (local or regional), PFFS or MS

A.  

B.  

CCPs, PFFS or MS

A.  

C.  

HMO, HSA, PPO (local or regional), PFFS or MS

A.  

D.  

HMO, PPO (local or regional), POS, or MS

A.  

Discussion 0
Question # 54

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

Options:

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.

Discussion 0
Question # 55

One component of information systems used by health plans incorporates membership data and information about provider reimbursement arrangements and analyzes transactions according to contract rules. This information system component is known as

Options:

A.  

A contract management system

B.  

A credentialing system

C.  

A legacy system

D.  

An interoperable communication system

Discussion 0
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