AHM-250 AHIP Exam Questions and Free Practice Test

Question 97

- (Topic 3)
The provision of mental health and chemical dependency services is collectively known as behavioral healthcare. The following statements are about behavioral healthcare. Three of these statements are true and one statement is false. Select the answer choice

A. Factors that have increased the demand for behavioral healthcare services include increased stress on individuals and families and the increasing availability of behavioral

B. healthcare services.

C. To manage the delivery of behavioral healthcare services, managed behavioral health organizations (MBHOs) use only two basic strategies: alternative treatment levels and crisis intervention.

D. The treatment approaches for behavioral healthcare most often include drug therapy, psychotherapy, and counseling.

E. The development of alternative treatment options, incorporation of community-based resources into the healthcare system, and increased reliance on case management have shifted the emphasis of managed behavioral healthcare from meeting the service needs of

Correct Answer:B

Question 98

- (Topic 3)
The provision of mental health and chemical dependency services is collectively known as behavioral healthcare. The following statements are about behavioral healthcare. Select the answer choice containing the correct statement.

A. In most preferred provider organizations (PPOs) and open access plans, plan members must receive a referral before accessing behavioral healthcare services from a specialist.

B. To manage the delivery of behavioral healthcare services, managed behavioral health organizations (MBHOs) typically use alternative treatment levels and alternative treatment methods rather than crisis intervention or alternative treatment settings.

C. Managed behavioral health organizations (MBHOs) typically are prohibited from negotiating with network providers for reduced fees in exchange for increased patient volume.

D. The treatment approaches for behavioral healthcare most often include drug therapy, psychotherapy, and counseling.

Correct Answer:B

Question 99

- (Topic 2)
Medicare Part C can be delivered by the following Medicare Advantage plans:

A. HCCP, HMO, PPO (local or regional), PFFS or MSA.

B. CCPs, PFFS or MSA.

C. HMO, HSA, PPO (local or regional), PFFS or MSA.

D. HMO, PPO (local or regional), POS, or MSA.

Correct Answer:B

Question 100

- (Topic 3)
Utilization review offers health plans a means of managing costs by managing

A. Cost effectiveness of healthcare services.

B. Cost of paying healthcare benefits.

C. Both of the above

Correct Answer:C

Question 101

- (Topic 3)
The Hill Health Plan designed a set of benefits that it packaged in the form of a PPO product. Hill then established a pricing structure that allowed its product to compete in the small group market, and it developed advertising designed to inform potential

A. An indemnity wraparound plan

B. A self-funded plan

C. An aggregate stop-loss plan

D. A fully funded plan

Correct Answer:D

Question 102

- (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

A. Polestar's relationship to Polaris: partnership: Type of board member: operations director

B. Polestar's relationship to Polaris: partnership: Type of board member: outside director

C. Polestar's relationship to Polaris: holding company: Type of board member: operations director

D. Poles tar's relationship to Polaris: holding company: Type of board member: outside director

Correct Answer:D

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