Free AHM-250 Exam Braindumps

- (Topic 1)
In order to generate exchanges with consumers, healthcare plan marketers use the four elements of the marketing mix: product, price, place (distribution), and

1. A. segmentation
2. B. publicity
3. C. promotion
4. D. plan design

Correct Answer: C

- (Topic 3)
Which of the following statements is FALSE?

1. A. The license that HMOs get in each state is called ‘Certificate of Authority’
2. B. The HMO contracts directly with the individual physicians who provide the medical services to the HMO members in a variation of the IPA model called direct contract model HMO.
3. C. All medicare/mediclaim beneficiaries should comply with utilization management requirements set forth by HCFA
4. D. HMO’s usually impose high coinsurance or deductible requirements

Correct Answer: D

- (Topic 1)
Health plans' use of the Internet to provide plan members with health-related information has grown rapidly in recent years. One advantage the Internet has over other forms of communication is that

1. A. users can access the Internet using a number of different types of computer systems
2. B. access to the Internet is available only to members of the health plan's network
3. C. the Internet is immune to internal security breaches by employees or trading partners within the network
4. D. users can contact a single controlling organization to rectify disruptions in Internet service

Correct Answer: A

- (Topic 3)
Which of the following statements about the Title VII of the Civil Rights Act is WRONG?

1. A. Employers with more than 15 employees engaged in interstate commerce need to comply
2. B. Pregnancy Discrimination Act (an amendment to this act) requires health plans to provide coverage during childbirth and related medical conditions on the same basis as they provide coverage for other medical conditions
3. C. Allows HMOs to set different policies for people from different races, religions, sex or national origin to safeguard their interests.
4. D. Protects all employees

Correct Answer: C

- (Topic 2)
One feature of the Employee Retirement Income Security Act (ERISA) is that it:

1. A. Requires self-funded employee benefit plans to pay premium taxes at the state level.
2. B. Contains a pre-emption provision, which typically makes the terms of ERISA take precedence over any state laws that regulate employee welfare benefit plans.
3. C. Contains strict reporting and disclosure requirements for all employee benefit plans except health plans.
4. D. Requires that state insurance laws apply to all employee benefit plans except insured plans.

Correct Answer: B