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AHM-250 Exam Dumps : Healthcare Management: An Introduction

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Healthcare Management: An Introduction Questions and Answers

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Question 1

An HMO’s quality assurance program must include

Options:

A.

A statement of the HMO’s goals and objectives for evaluating and improving enrollees’ health status

B.

Documentation of all quality assurance activities

C.

System for periodically reporting program results to the HMO’s board of directors, its providers, and regulators

D.

All the above

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Question 2

Health plans use the following to determine the number of providers to add to a network:

Options:

A.

Staffing ratios

B.

Drive time

C.

Geographic availability

D.

All of the above

Question 3

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

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