AHM-530 Exam Dumps : Network Management

Potential providers in a plan’s network to the number of individuals in the area to be served by the plan

Providers in a plan’s network to the number of enrollees in the plan

Providers outside a plan’s network to the number of providers in the plan’s network

Support staff in a plan’s network to the number of medical practitioners in the plan’s network

Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits

Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO

Receives a payment that is based on reasonable costs and reasonable charges

Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's goals is to minimize the use of community-based care

Provides the lowest level of cost for the health plan

Most closely represents what pharmacies are actually charged for prescription drugs

Offers the best control over multiple-source pharmaceutical products

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