Free AHM-250 Exam Braindumps

- (Topic 2)
The Fairway Health Group contracted with the Empire Corporation to provide behavioral healthcare services to Empire employees. As a condition of providing behavioral healthcare services, Fairway required Empire to contract with Fairway for basic medical s

1. A. horizontal group boycott
2. B. price-fixing agreement
3. C. horizontal division of markets
4. D. tying arrangement

Correct Answer: D

- (Topic 3)
The Polestar Company's sole business is the ownership of Polaris Medical Group, a health plan and subsidiary of Polestar. Some members of Polestar's board of directors hold positions with Polestar in addition to their positions on the board; the rest are professionals in academia and businesspeople who do not work for Polestar. Dr. Carolyn Porter, a university president, is on Polestar's board. From the following answer choices, select the response containing the term that correctly identifies Polestar's relationship to Polaris and the term that describes the type of board member represented by Dr. Porter

1. A. Polestar's relationship to Polaris: partnership: Type of board member: operations director
2. B. Polestar's relationship to Polaris: partnership: Type of board member: outside director
3. C. Polestar's relationship to Polaris: holding company: Type of board member: operations director
4. D. Poles tar's relationship to Polaris: holding company: Type of board member: outside director

Correct Answer: D

- (Topic 1)
Although the process is voluntary for health plans, external accreditation is becoming more and more important as states and purchasers require health plans undergo as many states and purchasers require health plans undergo some type of external review pr

1. A. Is voluntary for health plans.
2. B. Requires all change accreditation organizations to use the same standards of accreditation.
3. C. Typically requires the accrediting organization to conduct a medical record review and a review of a health plan's credentialing processes, but not an evaluation of the health plans' member service systems processes.
4. D. Cannot assure that a health plan meets a specified level of quality.

Correct Answer: A

- (Topic 1)
During an open enrollment period in 1997, Amy Hadek enrolled through her employer for group health coverage with the Owl Health Plan, a federally qualified HMO. At the time of her enrollment, Ms. Hadek had three pre-existing medical conditions: angina, fo

1. A. the angina, the high blood pressure, and the broken ankle
2. B. the angina and the high blood pressure only
3. C. none of these conditions
4. D. the broken ankle only

Correct Answer: A

- (Topic 2)
Parable Healthcare Providers, a health plan, recently segmented the market for a new healthcare service. Parable began the process by dividing the healthcare market into two broad categories: non-group and group. Next, Parable further segmented the non-gr

1. A. channel segmentation
2. B. geographic segmentation
3. C. demographic segmentation
4. D. product segmentation

Correct Answer: C