AHM-250 Exam Dumps : Healthcare Management: An Introduction

Closed-access HMO

Closed-panel HMO

Open-access HMO

Open-panel HMO

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

After a period of relative stability, annual growth in private health spending per capita began to increase rapidly in 2002.

During the height of the recent cost upswing, insurance premiums were increasing by more than 13% annually.

Increased utilization was the largest factor contributing to the rise in premiums, accounting for 43% of the increase.

Employer payers began seeking ways to control spiraling utilization rates and provide lower cost health coverage options.