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AHIP AHM-250 Exam
Healthcare Management: An Introduction (Page 12 )

Updated On: 7-Feb-2026
Page 12 of 74
PDF with 367 Questions

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 m
  4. D
  5. A
  6. B & C
  7. All of the listed options

Answer(s): F



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

Answer(s): C



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, and reporting standardized information about m

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

Answer(s): D



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 provi

  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

Answer(s): B



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

Answer(s): B






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