Free AHM-250 Exam Braindumps

- (Topic 3)
The contract between an employer and an insurer or other TPA is called

1. A. Claims
2. B. Bond
3. C. ASO
4. D. None of the above

Correct Answer: C

- (Topic 1)
Consumer-directed health plans are not a new concept. They actually got their start in the late 1970s with the advent of:

1. A. Health savings accounts (HSAs)
2. B. Health reimbursement arrangements (HRAs)
3. C. Medical savings accounts (MSAs)
4. D. Flexible spending arrangements (FSAs)

Correct Answer: D

- (Topic 3)
The Links Company, which offers its employees a self-funded health plan, signed a contract with a third party administrator (TPA) to administer the plan. The TPA handles the group's membership services and claims administration. The contract between Links

1. A. a manual rating contract
2. B. a funding vehicle contract
3. C. an administrative services only (ASO) contract
4. D. a pooling contract

Correct Answer: C

- (Topic 1)
From the following answer choices, choose the description of the ethical principle that best corresponds to the term Beneficence

1. A. Health plans and their providers are obligated not to harm their members
2. B. Health plans and their providers should treat each member in a manner that respects the member's goals and values, and they also have a duty to promote the good of the members as a group
3. C. Health plans and their providers should allocate resources in a way that fairly distributes benefits and burdens among the members
4. D. Health plans and their providers have a duty to respect the right of their members to make decisions about the course of their lives

Correct Answer: B

- (Topic 1)
Dr. Julia Phram is a cardiologist under contract to Holcomb HMO, Inc., a typical closed- panel plan. The following statements are about this situation. Select the answer choice containing the correct statement.

1. A. All members of Holcomb HMO must select D
2. B. Phram as their primary care physician (PCP).
3. C. Any physician who meets Holcomb's standards of care is eligible to contract with Holcomb HMO as a provider.
4. D. D
5. E. Phram is either an employee of Holcomb HMO or belongs to a group of physicians that has contracted with Holcomb HMO
6. F. Holcomb HMO plan members may self-refer to D
7. G. Phram at full benefits without first obtaining a referral from their PCPs.

Correct Answer: A