AHM-250 Exam Dumps - Healthcare Management: An Introduction

Closed-access HMO

Closed-panel HMO

Open-access HMO

Open-panel HMO

Smoking cessation programs.

Periodic health examinations.

Health club memberships.

Immunizations for children and adults.

receive compensation based on the volume and variety for medical services they perform for Leo plan members, whereas the specialists receive compensation based solely on the number of plan members who are covered for specific services

have no financial incentive to practice preventive care or to focus on improving the health of their plan members, whereas the specialists have a positive incentive to help their plan members stay healthy

receive from the IPA the same monthly compensation for each Leo plan member under the PCP's care, whereas the specialists receive compensation based on a percentage discount from their normal fees

receive compensation based on a fee schedule, whereas the specialists receive compensation based on per diem charges

Adele Farnsworth visited a dermatologist to have a mole removed from her arm.

Jonathan Lang underwent an electrocardiogram (EKG) during an office visit with his cardiologist.

Corinne Maxwell underwent physical therapy after being hospitalized for hip replacement surgery.

Jose Redriguez, a 70-year-old Medicare patient, received a flu shot as part of his annual physical examination.

The license that HMOs get in each state is called ‘Certificate of Authority’

The HMO contracts directly with the individual physicians who provide the medical services to the HMO members in a variation of the IPA model called direct contract model HMO.

All medicare/mediclaim beneficiaries should comply with utilization management requirements set forth by HCFA

HMO’s usually impose high coinsurance or deductible requirements