AHM-250 Exam Dumps : Healthcare Management: An Introduction

Healthcare costs are typically higher in rural areas than in large urban areas.

The morbidity rate for males is higher than the morbidity rate for females.

The larger the group, the more likely it is that the group will experience losses similar to the average rate of loss that was predicted.

All of the above

Contract between health plan and employer

State laws require an HMO not to be organized as a corporation

Compliance with CMS

an HMO may have to be licensed as an HMO or insurance company in each state in which it conducts business

PCCMs contract directly with the federal government to provide case management services to Medicaid recipients

all Medicaid recipients who live in rural areas must be given a choice of at least four PCCMs

Medicaid PCCM programs are exempt from the Health Care Financing Administration's (HCFA's) Quality Improvement System for Managed Care (QISMC) standards

PCCMs typically receive a case management fee, rather than reimbursement for medical services on a FFS basis, for the services they provide to Medicaid recipients