AHM-530 Exam Dumps : Network Management

Medicare and private indemnity insurance, and Medicare provides primary coverage

Medicare and Medicaid, and Medicare provides primary coverage

Medicaid and private indemnity insurance, and Medicaid provides primary coverage

Medicare and Medicaid, and Medicaid provides primary coverage

Require Dr. Barlow and Amity to use arbitration to resolve any disputes regarding the contract

Specify that the contract is to be governed by the laws of the state in which Amity has its headquarters

Require Dr. Barlow to charge Amity her lowest rate for a medical service she has provided to an Amity plan member, even if the rate is lower than the price negotiated in the contract

State that the contract creates an employment or agency relationship, rather than an independent contractor relationship, between Dr. Barlow and Amity

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