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AHIP AHM-250 Exam
- Topic 1: Review relevant terms, industry issues, care scenarios, and concepts/ Understand the basic concepts of health insurance provider organizations
- Topic 2: Delve into legislative and regulatory issues affecting the health insurance industry, including the Affordable Care Act (ACA) and the 21st Century Cures Act
- Topic 3: Understand role of government-sponsored programs, including Medicare and Medicaid, in providing coverage to large segments of the population
- Topic 4: Explore the concepts of rating, underwriting, and claims administration in health insurance provider environments/ Recognize HSAs? and HRAs? roles in today?s consumer-centric environment
- Topic 5: Examine the interplay of information technology with essential functions of health insurance provider operations/ Distinguish among HMOs, PPOs, POSs, and managed indemnity
- Topic 6: Gain a practical understanding of the evolution of health care delivery and financing in the United States, from pre-paid plans to ACOs
- Topic 7: Learn the importance of network structure and management in delivering quality healthcare/ Identify different types of health insurance provider organizations
Free AHIP AHM-250 Exam Actual Questions
The questions for AHM-250 were last updated On Apr. 13, 2024
Disease management is typically set up as a voluntary outreach and support program for plan members with certain _________ diseases
The scandent Health Group contracted with the Empire Corporation to provide behavioral healthcare services to.
Empire employees. As a condition of providing behavioral healthcare services, scandent required Empire to contract with scandent for basic medical services scandent's actions constituted the type of antitrust violation known as a
Disease management is typically set up as a voluntary outreach and support program for plan members with certain _________ diseases
The following statements are about the various Health Plan Accountability Models adopted by the NAIC.
Medigap policies were standardized into ten standard benefit pl ranging from A-J by the ____
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