AHM-250 AHIP Exam Questions and Free Practice Test

Question 91

- (Topic 3)
The Meadowcreek Group is an organization comprised of individual physicians and physicians in small group practices. Meadowcreek enters into contracts with health plans, and then Meadowcreek contracts separately with its physician members. In situations w

A. a group practice without walls (GPWW)

B. a messenger model

C. an individual practice association (IPA)

D. a Physician Practice Management (PPM) company

Correct Answer:C

Question 92

- (Topic 3)
Which of the choices below contains the four tools used by marketers that make up the 'promotion mix'?

A. Advertising, personal selling, sales promotion, and publicity.

B. Advertising, price, sales promotion, and publicity.

C. Admissions, personal selling, sales promotion, and publicity.

D. Advertising, personal selling, sales promotion, and privacy.

Correct Answer:A

Question 93

- (Topic 2)
The criteria used to identify and measure healthcare quality are generally divided into three categories: structure, process, and outcomes measures. Structure measures, which relate to the nature and quality of the resources that a health plan has available

A. length of time patients have to wait at the office to be seen by a provider

B. percentage of plan physicians who are board-certified

C. percentage of children receiving immunizations

D. number of patients contracting an infection in the hospital

Correct Answer:B

Question 94

- (Topic 3)
Two MCOs in a single service area divided purchasers into two groups and agreed to each market their products to only one purchaser group. This information indicates that these two MCOs violated antitrust requirements because they engaged in an activity k

A. horizontal group boycott

B. horizontal division of markets

C. a tying arrangement

D. price fixing

Correct Answer:B

Question 95

- (Topic 1)
A health savings account must be coupled with an HDHP that meets federal requirements for minimum deductible and maximum out-of-pocket expenses. Dollar amounts are indexed
annually for inflation. For 2006, the annual deductible for self-only coverage must

A. $525

B. $1,050

C. $2,100

D. $5,250

Correct Answer:B

Question 96

- (Topic 1)
In the following sections, we will describe some of the measures health plans use to evaluate the quality of the services and healthcare they offer their members.
Which of the following is the best description of what a 'Process measure' evaluates?

A. The nature, quantity, and quality of the resources that a health plan has available for member service and patient care.

B. The methods and procedures a health plan and its providers use to furnish service and care.

C. The extent to which services succeed in improving or maintaining satisfaction and patient health.

D. None of the above

Correct Answer:B

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