AHM-250 AHIP Exam Lab Questions

Healthcare Management: An Introduction Questions and Answers

Question 13

During the risk assessment process for a traditional indemnity group insurance health plan, group underwriters consider such characteristics as a group’s geographic location, the size and gender mix of the group, and the level of participation in the grou

Options:

Healthcare costs are typically higher in rural areas than in large urban areas.

The morbidity rate for males is higher than the morbidity rate for females.

The larger the group, the more likely it is that the group will experience losses similar to the average rate of loss that was predicted.

All of the above

Question 14

In the paragraph below, a sentence contains two pairs of words enclosed in parentheses. Determine which word in each pair correctly completes the sentence. Then select the answer choice containing the two words that you have chosen. Many pharmacy benefit

Options:

Therapeutic / always

Generic / always

Generic / never

Therapeutic / never

Question 15

Health plans require utilization review for all services administered by its participating physicians.

Options:

True

False

Question 16

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

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Healthcare Management: An Introduction Questions and Answers

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CompTIA

Fortinet

Microsoft

Salesforce