Free AHM-250 Exam Braindumps

- (Topic 3)
The Hill Health Plan designed a set of benefits that it packaged in the form of a PPO product. Hill then established a pricing structure that allowed its product to compete in the small group market, and it developed advertising designed to inform potential

1. A. The number of specialists in Hill's network of providers.
2. B. The price for the PPO product.
3. C. Hill's ability to report utilization data.
4. D. Hill's use of brokers to market its PPO product.

Correct Answer: B

- (Topic 3)
The process of calculating the appropriate premium to charge purchasers, given the degree of risk represented by the individual or group, the expected costs to deliver medical services, and the expected marketability and competitiveness of the health plan

1. A. financing
2. B. rating
3. C. underwriting
4. D. budgeting

Correct Answer: B

- (Topic 2)
One distinction that can be made between a staff model HMO and a group model HMO is that, in a staff model HMO, participating physicians are Back to Top

1. A. Employees of the HMO
2. B. Employees of a group practice that has contracted with the HMO
3. C. Compensated primarily through capitation
4. D. Limited to primary care physicians (PCPs)

Correct Answer: A

- (Topic 3)
Arrange the following provider organizations in the order ranging from least integrated.

1. A. Physician Practice Management (PPM) companyI
2. B. Integrated Delivery System (IDS)II
3. C. Group Practice Without Walls (GPWW)I
4. D. Independent Practice Association (IPA)
5. E. I, II, III, IV
6. F. IV, III, I, II
7. G. I, II, IV, III
8. H. I, IV, II, III

Correct Answer: B

- (Topic 2)
Medicare Advantage product options include:

1. A. Coordinated care plans, medical savings accounts and national PPOs.
2. B. Private Fee for Service plans, health care prepayment plans and medical savings accounts
3. C. Coordinated care plans, regional PPOs and private fee for service plans
4. D. Cost contracts, coordinated care programs and medical savings accounts.

Correct Answer: C