AHM-250 Exam Dumps : Healthcare Management: An Introduction

the National Practitioner Data Bank (NPDB)

the National Association of Insurance Commissioners (NAIC)

the Centers for Medicare and Medicaid Services (CMS)

independent accrediting organizations

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Assume full financial risk for arranging medical services for their members.

Require plan members to obtain a referral before getting medical services from specialists.

Use a capitation arrangement, instead of a fee schedule, to reimburse physicians.

Offer some coverage, although at a higher cost, for plan members who choose to use the services of non-network providers.