Ace Your AHM-250 AHIP Certification Exam

Requires self-funded employee benefit plans to pay premium taxes at the state level.

Contains a pre-emption provision, which typically makes the terms of ERISA take precedence over any state laws that regulate employee welfare benefit plans.

Contains strict reporting and disclosure requirements for all employee benefit plans except health plans.

Requires that state insurance laws apply to all employee benefit plans except insured plans.

After a period of relative stability, annual growth in private health spending per capita began to increase rapidly in 2002.

During the height of the recent cost upswing, insurance premiums were increasing by more than 13% annually.

Increased utilization was the largest factor contributing to the rise in premiums, accounting for 43% of the increase.

Employer payers began seeking ways to control spiraling utilization rates and provide lower cost health coverage options.

a physician practice organization

a physician-hospital organization

a management services organization

an integrated delivery system

Individuals enrolled in a MA plan must enroll in a stand-alone Part D prescription drug plan.

Individuals enrolled in a MA plan do not have to be eligible for Medicare Part A

Individuals enrolled in an MSA plan or a PFFS plan without Medicare drug coverage can enroll in Medicare Part D.

Individuals can enroll in MA plan in multiple regions.