AHM-250 Exam Dumps : Healthcare Management: An Introduction

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

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

Is designed to supply information at the site of care.

Contains a Mosaic member's clinical data only.

Is organized by the type of treatment or by provider.

Is regulated under federal HMO legislation

Generally provides no benefits for out-of-network care

Has no provider network of physicians

Is not subject to state insurance laws