AHM-250 Exam Dumps : Healthcare Management: An Introduction

A statement of the HMO’s goals and objectives for evaluating and improving enrollees’ health status

Documentation of all quality assurance activities

System for periodically reporting program results to the HMO’s board of directors, its providers, and regulators

All the above

fee-for-service arrangement

risk sharing contract

capitation contract

rebate contract

Assume full financial risk for arranging medical services for their members.

Require plan members to obtain a referral before getting medical services from specialists.

Use a capitation arrangement, instead of a fee schedule, to reimburse physicians.

Offer some coverage, although at a higher cost, for plan members who choose to use the services of non-network providers.