Free AHM-250 Exam Braindumps

- (Topic 3)
The Madison Health Plan, a national MCO, and a local hospital system that operates its own managed healthcare network recently created a new and separate managed healthcare organization, the Pineapple Health Plan. Madison and the hospital system share own

1. A. a consolidation
2. B. a joint venture
3. C. a merger
4. D. an acquisition

Correct Answer: B

- (Topic 1)
If most of the physicians, or many of the physicians in a particular specialty, are affiliated with a single entity, then a health plan building a network in the service area
.

1. A. Has many contracting options available.
2. B. Should not contract with that entity
3. C. Most likely needs to contract with that entity
4. D. Should attempt to disband the existing affiliations

Correct Answer: C

- (Topic 3)
Bill the member for the balance of the fee above the maximum allowable amount under the fee schedule reimbursement method

1. A. UCR fee
2. B. Capitation fee
3. C. Balance bill
4. D. Discounted fee-for-service

Correct Answer: C

- (Topic 3)
Each time a patient visits a provider he has to pay a fixed dollar amount?

1. A. Deductible
2. B. Copayment
3. C. Capitation
4. D. Co-insurance

Correct Answer: B

- (Topic 2)
The following sentence contains an incomplete statement with two missing words. Select the answer choice that contains the words that correctly fill in the missing blanks.
At its core, consumer choice involves empowering healthcare consumers to play a

1. A. greater/lesser
2. B. greater/greater
3. C. lesser/greater
4. D. lesser/lesser

Correct Answer: B