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  • Exam Name: Healthcare Management: An Introduction
  • Last Update: 16-Apr-2024
  • Questions and Answers: 367
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AHM-250 Questions and Answers

Question # 1

The National Association of Insurance Commissioners (NAIC) developed the Small Group Model Act to enable small groups to obtain accessible, yet affordable, group health benefits. The model law limits the rate spread, which is the difference between the highest and lowest rates that a health plan charges small groups, to a particular ratio.

According to the Model Act, for example, if the lowest rate an HMO charges a small group for a given set of medical benefits is $40, then the maximum rate the HMO can charge for the same set of benefits is

A.

$60

B.

$80

C.

$120

D.

$160

Question # 2

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

Question # 3

Common characteristics of POS products are

A.

Lack of Freedom of choice

B.

Absence of Primary care physician

C.

Cost-cutting efforts and the structure of coverage

D.

All of the above

Question # 4

Renewal underwriting involves a reevaluation of

A.

The group’s experience

B.

Level of participation in the health plan

C.

Both A and B

D.

None of the Above

Question # 5

Which of the following statements about Family and Medical Leave Act (FMLA) is WRONG?

A.

Employers need to maintain the coverage of group health insurance during this period

B.

Employees can take upto 12 weeks of unpaid leave in a 36 month period

C.

Protects people faced with birth/adoption or seriously ill family members

D.

Employers that have > 50 employees need to comply

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