Free AHM-250 Exam Braindumps
Healthcare Management: An Introduction Questions 136–140 (page: 29)

Updated On: 10-Feb-2026

One HMO model can be described as an extension of a group model HMO because it contracts with multiple group practices, rather than with a single group practice. This HMO model is known as the

  1. staff model HMO
  2. IPA model HMO
  3. direct contract model HMO
  4. network model HMO

Answer(s): D



One non-group market segment to which health plans market health plan products is the senior market, which is comprised mostly of persons over age 65 who are eligible for Medicare benefits. One factor that affects a health plan's efforts to market to the

  1. The Centers for Medicare and Medicaid Services (CMS) must approve all marketing materials used by health plans to market health plan products to the Medicare population
  2. managed Medicare plans typically require Medicare beneficiaries to purchase Medigap insurance to supplement gaps in coverage
  3. managed Medicare plans can refuse to cover persons with certain health problems
  4. the CMS prohibits health plans from using telemarketing to market health plan products to the Medicare population

Answer(s): B



One of the distinguishing characteristics of healthcare marketing is that many of the markets for health plans are national, not local markets.

  1. True
  2. False

Answer(s): B



One of the most influential pieces of legislation in the advancement of health plans within the United States was the Health Maintenance Organization (HMO) Act of 1973. One of the provisions of the Act was that it

  1. exempted HMOs from all state licensure requirements.
  2. required all employers that offered healthcare coverage to their employees to offer only one type of federally qualified HMO.
  3. eliminated funding that supported the planning and start-up phases of new HMOs.
  4. established a process by which HMOs could obtain federal qualification

Answer(s): D



One of the most influential pieces of legislation in the advancement of managed care within the United States was the HMO Act of 1973. One provision of the HMO Act of 1973 was that it

  1. emphasized compensating physicians based solely on the volume of medical services they provide
  2. exempted HMOs from all state licensure requirements
  3. established a process under which HMOs could elect to be federally qualified
  4. required federally qualified HMOs to relate premium levels to the health status of the individual enrollee or employer group

Answer(s): C



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