QUESTION: 137

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

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
managed Medicare plans typically require Medicare beneficiaries to purchase Medigap insurance to supplement gaps in coverage
managed Medicare plans can refuse to cover persons with certain health problems
the CMS prohibits health plans from using telemarketing to market health plan products to the Medicare population

Answer(s): B

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QUESTION: 138

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

True
False

Answer(s): B

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QUESTION: 139

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

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

Answer(s): D

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QUESTION: 140

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

emphasized compensating physicians based solely on the volume of medical services they provide
exempted HMOs from all state licensure requirements
established a process under which HMOs could elect to be federally qualified
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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Free AHM-250 Exam Braindumps (page: 36)

QUESTION: 137

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QUESTION: 139

QUESTION: 140

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