AHM-250 AHIP Exam Questions and Free Practice Test

Question 85

- (Topic 2)
The Ark Health Plan, is currently recruiting providers in preparation for its expansion into a new service area. A recruiter for Ark has been meeting with Dr. Nan Shea, a pediatrician who practices in Ark's new service area, in order to convince her to be

A. Has ever participated in any quality improvement activities.

B. Is a participating provider in a health plan that will compete with Ark in its new service area.

C. Meets the requirements of the Ethics in Patient Referrals Act.

D. Has had a medical malpractice claim filed or other disciplinary actions taken against her.

Correct Answer:D

Question 86

- (Topic 1)
Beginning in the early 1980s, several factors contributed to increased demand for behavioral healthcare services. These factors included

A. increased stress on individuals and families

B. increased availability of behavioral healthcare services

C. greater awareness and acceptance of behavioral healthcare issues

D. all of the above

Correct Answer:D

Question 87

- (Topic 2)
The following programs are part of the Alcove Health Plan's utilization management (UM) program:
✑ Preventive care initiatives
✑ A telephone triage program
✑ A shared decision-making program
✑ A self-care program
With regard to the UM programs, it is most

A. Preventive care initiatives include immunization programs but not health promotion programs.

B. Telephone triage program is staffed by physicians only.

C. Shared decision-making program is appropriate for virtually any medical condition.

D. Self-care program is intended to complement physicians' services, rather than to supersede or eliminate these services.

Correct Answer:D

Question 89

- (Topic 1)
An HMO that combines characteristics of two or more HMO models is sometimes referred to as a

A. Network model HMO

B. Group model HMO

C. Staff model HMO

D. Mixed model HMO

Correct Answer:D

Question 90

- (Topic 1)
Immediate evaluation and treatment of illness or injury can be provided in any of the following care settings:

A. Hospital emergency departments

B. Physician's offices

C. Urgent care centersIf these settings are ranked in order of the cost of providing c

D. A, B, C

E. A, C, B

F. B, C, A

G. C, A, B

Correct Answer:B

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Question 89

Question 90