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AHM-510 Exam Dumps - AHIP Certification Questions and Answers

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Questions 4

In developing its corporate strategies, the Haven Health Plan decided to implement a growth strategy that is focused on increasing the percentage of preventive health office visits from its current plan members. To accomplish this objective, Haven will send a direct mail kit to existing plan members to remind them of the variety of preventive health services that Haven currently offers, including physical exams, cholesterol tests, and mammograms. This information illustrates Haven's use of

Options:

A.

An intensive growth strategy known as market penetration

B.

An integrated growth strategy known as product development

C.

An integrated growth strategy known as market development

D.

A diversified growth strategy known as market penetration

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Questions 5

SoundCare Health Services, a health plan, recently conducted a situation analysis. One step in this analysis required SoundCare to examine its current activities, its strengths and weaknesses, and its ability to respond to potential threats and opportunities in the environment. This activity provided SoundCare with a realistic appraisal of its capabilities. One weakness that SoundCare identified during this process was that it lacked an effective program for preventing and detecting violations of law. SoundCare decided to remedy this weakness by using the 1991 Federal Sentencing Guidelines for Organizations as a model for its compliance program.

By definition, the activity that SoundCare conducted when it examined its strengths, weaknesses, and capabilities is known as

Options:

A.

An environmental analysis

B.

An internal assessment

C.

An environmental forecast

D.

A community analysis

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Questions 6

States may impose nominal deductibles, coinsurance, or copayments on some Medicaid recipients for certain services. Services for which states can require copayments from Medicaid recipients include:

Options:

A.

Emergency services

B.

Family planning services

C.

Both A and B

D.

A only

E.

B only

F.

Neither A nor B

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Questions 7

The following statements describe various state benefit mandates. Select the answer choice that describes a state law pertaining to off-label uses for drugs.

Options:

A.

State A mandates that health plans provide benefits for experimental drugs for the treatment of terminal diseases such as AIDS and cancer.

B.

State B mandates that health plans have a procedure in place to allow a patient to have a non-formulary drug covered under certain conditions.

C.

State C mandates that, in dispensing generic drugs, pharmacies must label drug containers with the name of the substituted generic medication.

D.

State D mandates that health plans provide benefits for the treatment of one form of cancer with specific drugs that had originally been approved by the Food and Drug Administration (FDA) to treat other forms of cancer.

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Exam Code: AHM-510
Exam Name: Governance and Regulation
Last Update: Dec 22, 2024
Questions: 76
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