Winter Sale - Limited Time 65% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: top65certs

AHM-530 Exam Dumps : Network Management

PDF
AHM-530 pdf
 Real Exam Questions and Answer
 Last Update: Jan 22, 2026
 Question and Answers: 202
 Compatible with all Devices
 Printable Format
 100% Pass Guaranteed
$29.75  $84.99
AHM-530 exam
PDF + Testing Engine
AHM-530 PDF + engine
 Both PDF & Practice Software
 Last Update: Jan 22, 2026
 Question and Answers: 202
 Discount Offer
 Download Free Demo
 24/7 Customer Support
$47.25  $134.99
Testing Engine
AHM-530 Engine
 Desktop Based Application
 Last Update: Jan 22, 2026
 Question and Answers: 202
 Create Multiple Test Sets
 Questions Regularly Updated
  90 Days Free Updates
  Windows and Mac Compatible
$35  $99.99

Verified By IT Certified Experts

CertsTopics.com Certified Safe Files

Up-To-Date Exam Study Material

99.5% High Success Pass Rate

100% Accurate Answers

Instant Downloads

Exam Questions And Answers PDF

Try Demo Before You Buy

Certification Exams with Helpful Questions And Answers

Network Management Questions and Answers

Question 1

Dr. Michelle Kubiak has contracted with the Gem Health Plan, a Medicare+Choice health plan, to provide medical services to Gem's enrollees. Gem pays Dr. Kubiak $40 per enrollee per month for providing primary care. Gem also pays her an additional $10 per enrollee per month if the cost of referral services falls below a targeted level. This information indicates that, according to the substantial financial risk formula, Dr. Kubiak's referral risk under this contract is equal to:

Options:

A.

20%, and therefore this arrangement puts her at substantial financial risk

B.

20%, and therefore this arrangement does not put her at substantial financial risk

C.

25%, and therefore this arrangement puts her at substantial financial risk

D.

25%, and therefore this arrangement does not put her at substantial financial risk

Buy Now
Question 2

One reason that an health plan would want to use the actual acquisition cost (AAC) pricing system to calculate its drug costs is that, of the systems commonly used to calculate drug costs, the AAC system

Options:

A.

Provides the lowest level of cost for the health plan

B.

Most closely represents what pharmacies are actually charged for prescription drugs

C.

Offers the best control over multiple-source pharmaceutical products

D.

Is the least expensive pricing system for the health plan to implement

Question 3

The Pine Health Plan has incorporated pharmacy benefits management into its operations to form a unified benefit. Potential advantages that Pine can receive from this action include:

Options:

A.

the fact that unified benefits improve the quality of patient care and the value of pharmacy services to Pine's plan members

B.

the fact that control over the formulary and network contracting can give Pine control over patient access to prescription drugs and to pharmacies

C.

the fact that managing pharmacy benefits in-house gives Pine a better chance to meet customer needs by integrating pharmacy services into the plan's total benefits package

D.

all of the above