Free AHM-250 Exam Braindumps
Healthcare Management: An Introduction Questions 131–135 (page: 28)

Updated On: 10-Feb-2026

One distinguishing characteristic of a health maintenance organization (HMO) is that, typically, an HMO

  1. arranges for the delivery of medical care and provides, or shares in providing, the financing of that care
  2. must be organized on a not-for-profit basis
  3. may be organized as a corporation, a partnership, or any other legal entity
  4. must be federally qualified in order to conduct business in any state

Answer(s): A



One ethical principle in health plans is the principle of non-malfeasance, which holds that health plans and their providers:

  1. Should allocate resources in a way that fairly distributes benefits and burdens among the members.
  2. Have a duty to present information honestly and are obligated to honor commitments.
  3. Are obligated not to harm their members.
  4. Should treat each plan member in a manner that respects his or her goals and values.

Answer(s): C



One ethical principle in managed care is the principle of justice/equity, which specifically holds that MCOs and their providers have a duty to

  1. treat each member in a manner that respects his or her own goals and values
  2. allocate resources in a way that fairly distributes benefits and burdens among the members
  3. present information honestly to their members and to honor commitments to their members
  4. make sure they do not harm their members

Answer(s): B



One factor the Sandpiper Health Plan uses to assess its quality is a clinician's bedside manner, i.e., how friendly and understanding the clinician is, whether the patient feels that the clinician listens to the patient's concerns, how well the clinical

  1. a provider service quality issue
  2. an administrative service quality issue a healthcare process quality issue
  3. a healthcare outcomes quality issue
  4. a healthcare process quality issue

Answer(s): A



One feature of the Employee Retirement Income Security Act (ERISA) is that it:

  1. Requires self-funded employee benefit plans to pay premium taxes at the state level.
  2. Contains a pre-emption provision, which typically makes the terms of ERISA take precedence over any state laws that regulate employee welfare benefit plans.
  3. Contains strict reporting and disclosure requirements for all employee benefit plans except health plans.
  4. Requires that state insurance laws apply to all employee benefit plans except insured plans.

Answer(s): B



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