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AHM-530 Dumps With Exact Questions and Answers

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AHM-530 Questions and Answers

Question # 1

The sizes of the businesses in a market affect the types of health programs that are likely to be purchased. Compared to smaller employers (those with fewer than 100 employees), larger employers (those with more than 1,000 employees) are

A.

more likely to contract with indemnity health plans

B.

more likely to offer their employees a choice in health plans

C.

less likely to contract with health plans

D.

less likely to require a wide variety of benefits

Question # 2

A population’s demographic factors—such as income levels, age, gender, race, and ethnicity—can influence the design of provider networks serving that population. With respect to these demographic factors, it is correct to say that

A.

higher-income populations have a higher incidence of chronic illnesses than do lowerincome populations

B.

compared to other groups, young men are more likely to be attached to particular providers

C.

a population with a high proportion of women typically requires more providers than does a population that is predominantly male

D.

Health plans should not recognize, in either the design of networks or the evaluation of provider performance, racial and ethnic differences in the member population

Question # 3

In the paragraph below, two statements each contain a pair of terms enclosed in parentheses. Determine which term correctly completes each statement. Then select the answer choice that contains the two terms you have chosen.

A formulary lists the drugs and treatment protocols that are considered to be the preferred therapy for a given managed population. The Fairfax Health Plan uses the type of formulary which covers drugs that are on its preferred list as well as drugs that are not on its preferred list. This information indicates that Fairfax uses the (closed / open) formulary method. In using the formulary approach to pharmacy benefits management, Fairfax most likely experiences (higher / lower) costs for its members’ prescription drugs than it would if it did not use a formulary.

A.

closed / higher

B.

closed / lower

C.

open / higher

D.

open / lower

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