AHIP AHIP Certifications AHM-250 Questions & Answers

• Question 121:

  The following types of CDHPs allow federal tax advantages including the ability to roll funds from one year to the next:

  A. MSAs, HRAs, HSAs

  B. FSAs, MRAs, HRAs

  C. FSAs, HRAs, HSAs

  D. FSAs, MRAs HSAs

  Correct Answer: A

• Question 122:

  The Stateside Health Plan uses the following outcomes measures to evaluate the quality of its diabetes disease management program. Measure A: Incidence of foot ulcers among long-term diabetes patients Measure B: Ability of long-term diabetes patients to m

  A. Measure A clinical status Measure B patient perception

  B. Measure A clinical status Measure B functional status

  C. Measure A functional status Measure B patient perception

  D. Measure A functional status Measure B clinical status

  Correct Answer: B

• Question 123:

  Who will be covered by TRICARE PRIME by applying for enrollment

  A. Active duty military personnel

  B. Active duty Dependents

  C. Retires

  D. B and C

  Correct Answer: D

• Question 124:

  Flexible Spending Accounts (FSAs) can be established by

  A. The employer alone

  B. The employee alone

  C. By both the employer and the employee

  D. Self - employed individuals

  Correct Answer: A

• Question 125:

  The agreement by two or more independent competitors on the prices or fees that they will charge for services is known as:

  A. Tying arrangements

  B. Price fixing

  C. Horizontal group boycott

  D. Horizontal division of markets

  Correct Answer: B

• Question 126:

  The Madison Health Plan, a national MCO, and a local hospital system that operates its own managed healthcare network recently created a new and separate managed healthcare organization, the Pineapple Health Plan. Madison and the hospital system share own

  A. a consolidation

  B. a joint venture

  C. a merger

  D. an acquisition

  Correct Answer: B

• Question 127:

  The owners of an MCO typically delegate authority for governing the operation of the MCO by electing the MCO's

  A. quality management committee

  B. medical director

  C. board of directors

  D. chief executive officer

  Correct Answer: C

• Question 128:

  The Hill Health Plan designed a set of benefits that it packaged in the form of a PPO product. Hill then established a pricing structure that allowed its product to compete in the small group market, and it developed advertising designed to inform potential

  A. The number of specialists in Hill's network of providers.

  B. The price for the PPO product.

  C. Hill's ability to report utilization data.

  D. Hill's use of brokers to market its PPO product.

  Correct Answer: B

• Question 129:

  The Hill Health Plan designed a set of benefits that it packaged in the form of a PPO product. Hill then established a pricing structure that allowed its product to compete in the small group market, and it developed advertising designed to inform potential

  A. A decision as to which exclusions or limitations would apply for this product.

  B. A decision as to how to establish the network of participating providers for this product

  C. A determination of the level at which this product would cover out-of-network services.

  D. All of the above.

  Correct Answer: D

• Question 130:

  The Military Health System of the Department of Defense offers ongoing healthcare coverage to military personnel and their families through the

  A. Health Care Quality Improvement Program (HCQIP)

  B. Health Plan Management System (HPMS)

  C. TRICARE healthcare system

  D. Health Care Prepayment Plan (HCPP)

  Correct Answer: C