AHM-250

AHM-250 practice questions, page 11 of 15, with answer review and explanations.

Question 51

Federal Employee Health Benefits Program (FEHBP) requires health plans offering services to federal employees and their dependents to provide:

  1. Immediate access to emergency services
  2. Urgent Appointments within 24 hours
  3. Routine appointments once a month
  4. D
  5. A
  6. B & C
  7. All of the listed options

Question 52

Federal legislation has placed the primary responsibility for regulating health insurance companies and HMOs that service private sector (commercial) plan members at the state level. This federal legislation is the

  1. Clayton Act
  2. Federal Trade Commission Act
  3. McCarran-Ferguson Act
  4. Sherman Act

Question 53

Following a report by the Institute of Medicine on the incidence and consequences of medical errors, a national task force recommended implementation of a nationwide mandatory system of collecting, analyzing, reporting standardized information about medical errors that result in death or serious harm be established. What kind of change will this system require?

  1. random change
  2. structural change
  3. haphazard change
  4. reactive change

Question 54

For providers, integration occurs when two or more previously separate providers combine under common ownership or control, or when two or more providers combine business operations that they previously carried out separately and independently. Such provider integrations provide which benefit?

  1. higher costs for health plans, healthcare purchasers, and healthcare consumers
  2. improved provider contracting position with health plans
  3. an increase in providers' autonomy and control over their own work environment
  4. all of the above

Question 55

For this question, select the answer choice containing the terms that correctly complete the blanks labeled A and B in the paragraph below. NCQA offers Quality Compass, a national database of performance and accreditation information submitted by managed

  1. Health Plan Employer Data and Information Set (HEDIS) mandatory
  2. Health Plan Employer Data and Information Set (HEDIS) voluntary
  3. ORYX mandatory
  4. ORYX voluntary