AHIP AHM-530 Exam Practice Questions (P. 5)
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Question #21
- ACompared to providers in urban areas, providers in rural areas are less likely to offer discounts to health plans in exchange for directed patient volume.
- BIn urban areas, limiting the number of specialists on a panel usually affects the network's market appeal more than does limiting the number of primary care physicians.
- CThe greatest opportunity to create competition in rural areas is among the specialty providers in other nearby communities.
- DTypically, hospital contracting is easier in urban areas than in rural areas.
B

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Question #22
- AA narrow network
- BAn integrated healthcare delivery system
- CTelemedicine
- DCustomized networking
C

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Question #23
- Ahigher-income populations have a higher incidence of chronic illnesses than do lower income populations
- Bcompared to other groups, young men are more likely to be attached to particular providers
- Ca population with a high proportion of women typically requires more providers than does a population that is predominantly male
- DHealth plans should not recognize, in either the design of networks or the evaluation of provider performance, racial and ethnic differences in the member population
C

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Question #24
The following statements are about this situation. Three of the statements are true, and one of the statements is false. Select the answer choice that contains the FALSE statement.
- AGypsum should attempt to recruit providers who offer extended office hours.
- BGypsum can use the cost-effectiveness of its own existing networks as a benchmark for its cost-savings goals in this market.
- CGypsum will most likely attempt to contract with HMOs.
- DGypsum most likely should set lower cost-savings goals in this market than it would in a rural market with few young families.
D

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Question #25
The network strategy that Gardenia is using to establish its range of healthcare plans is known as the:
- Anetwork-within-a-network approach
- Bgatekeeper approach
- Ctiered network approach
- Dpreferred tier approach
A

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