AHIP AHIP Certification AHM-250 New Questions

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Question 20

Consumer-directed health plans are not a new concept. They actually got their start in the late 1970s with the advent of:

Options:

Health savings accounts (HSAs)

Health reimbursement arrangements (HRAs)

Medical savings accounts (MSAs)

Flexible spending arrangements (FSAs)

Question 21

If most of the physicians, or many of the physicians in a particular specialty, are affiliated with a single entity, then a health plan building a network in the service area _____________.

Options:

Has many contracting options available.

Should not contract with that entity

Most likely needs to contract with that entity

Should attempt to disband the existing affiliations

Question 22

From the following choices, choose the definition that best matches the term Screening

Options:

A technique used to educate plan members on how to distinguish between minor problems and serious conditions and effectively treat minor problems themselves

A technique used to determine if a health condition is present even if a member has not experienced symptoms of the problem

A technique in which information about a plan member's health status, personal and family health history, and health-related behaviors is used to predict the member's likelihood of experiencing specific illnesses or injuries

A technique used to evaluate the medical necessity, appropriateness, and cost-effectiveness of healthcare services for a given patient

Question 23

Identify the CORRECT statement(s):

(A) Smaller the group, the more likely it is that the group will experience losses similar to the average rate of loss that was predicted.

(B) Gender of the group's participants has no effect on the likelihood of loss.