AHM-250 by AHIP Actual Free Exam Q&As

Question 1 ( Topic 1 )

By definition, the marketing process of defining a certain place or market niche for a product relative to competitors and their products and then using the marketing mix to attract certain market segments is known as

A. branding
B. positioning
C. database marketing
D. personal selling

Answer : B

Question 2 ( Topic 1 )

By definition, a health plan's network refers to the

A. organizations and individuals involved in the consumption of healthcare provided by the plan
B. relative accessibility of the plan's providers to the plan's participants
C. group of physicians, hospitals, and other medical care providers with whom the plan has contracted to deliver medical services to its members
D. integration of the plan's participants with the plan's providers

Answer : C

Question 3 ( Topic 1 )

Col. Martin Avery, on active duty in the U.S. Army, iseligibleto receive healthcare benefits under one of the three TRICARE health plan options. If Col Avery elects to participate in

TRICARE Prime, he will be -

A. able to obtain full benefits for services obtained from network and non-network providers
B. subject to copayment, deductible, and coinsurance requirements for any medical care he receives
C. required to formally enroll for coverage and pay an enrollment fee
D. assigned to a primary care manager who is responsible for coordinating all his care

Answer : D

Question 4 ( Topic 1 )

Greentree Medical, a health plan, is currently recruiting PCPs in preparation for its expansion into a new service area. Abigail Davis, a recruiter for Greentree, has been meeting with Melissa Cortelyou, M.D., in an effort to recruit her as a PCP in Green

A. Greentree is prevented by law from offering a contract to Dr. Cortelyou until the credentialing process is complete
B. any contract signed by Dr. Cortelyou should include a clause requiring the successful completion of the credentialing process within a defined time frame in order for the contract to be effective
C. Greentree must offer a standard contract to Dr. Cortelyou, without regard to the outcome of the credentialing process
D. Greentree will abandon the credentialing process now that Dr. Cortelyou has agreed to participate in Greentree's network

Answer : B

Question 5 ( Topic 1 )

If a state commissioner of insurance places an HMO under administrative supervision, then the purpose of this action most likely is to:

A. Transfer all of the HMO's business to other carriers.
B. Allow the state commissioner, acting for a state court, to take control of and administer the HMO's assets and liabilities.
C. Sell the HMO's assets in order to satisfy the HMO's obligations.
D. Place the HMO's operations under the direction and control of the state commissioner or a person appointed by the commissioner.