AHM-510 Dumps

  Printable PDF

  Unencrypted VCE

AHIP AHM-510 dumps - 100% Pass Guarantee!

Rating: 4.9

Vendor: AHIP

Certifications: AHIP Certification

Exam Name: Governance and Regulation

Exam Code: AHM-510

Total Questions: 76 Q&As

Last Updated: Mar 20, 2024

Note: Product instant download. Please sign in and click My account to download your product.

PDF Only: $45.99 VCE Only: $49.99 VCE + PDF: $59.99

PDF

  • Q&As Identical to the VCE Product
  • Windows, Mac, Linux, Mobile Phone
  • Printable PDF without Watermark
  • Instant Download Access
  • Download Free PDF Demo
  • Includes 365 Days of Free Updates

VCE

  • Q&As Identical to the PDF Product
  • Windows Only
  • Simulates a Real Exam Environment
  • Review Test History and Performance
  • Instant Download Access
  • Includes 365 Days of Free Updates

AHIP AHM-510 Last Month Results

766
Successful Stories of AHIP AHM-510 Exam
95.3%
High Score Rate in Actual AHIP Exams
97.9%
Same Questions from the Latest Real Exam
  • 95.3% Pass Rate
  • 365 Days Free Update
  • Verified By Professional IT Experts
  • 24/7 Live Support
  • Instant Download PDF&VCE
  • 3 Days Preparation Before Test
  • 18 Years Experience
  • 6000+ IT Exam Dumps
  • 100% Safe Shopping Experience

AHM-510 Q&A's Detail

Exam Code: AHM-510
Total Questions: 76

AHM-510 Online Practice Questions and Answers

Questions 1

Determine whether the following statement is true or false:

Although most-favored-nation (MFN) clauses in contracts between health plans and healthcare providers are not per se illegal, they should be reviewed under the rule of reason analysis for antitrust purposes.

A. True, because the Federal Trade Commission (FTC) ruled that MFN clauses are not per se illegal and the FTC encourages health plans to include them in provider contracts.

B. True, because although MFN clauses are not per se illegal, they violate antitrust laws if they have a predatory purpose and an anticompetitive effect.

C. False, because MFN clauses involve decisions by providers concerning the level of fees to charge, and thus they are per se illegal.

D. False, because MFN clauses are not per se illegal, and thus they are exempt from antitrust laws and regulation by the FTC.

Show Answer
Questions 2

The Tidewater Life and Health Insurance Company is owned by its policy owners, who are entitled to certain rights as owners of the company, and it issues both participating and nonparticipating insurance policies. Tidewater is considering converting to the type of company that is owned by individuals who purchase shares of the company's stock. Tidewater is incorporated under the laws of Illinois, but it conducts business in the Canadian provinces of Ontario and Manitoba. Tidewater established the Diversified Corporation, which then acquired various subsidiary firms that produce unrelated products and services. Tidewater remains an independent corporation and continues to own Diversified and the subsidiaries. In order to create and maintain a common vision and goals among the subsidiaries, the management of Diversified makes decisions about strategic planning and budgeting for each of the businesses.

Tidewater's participating policy owners have the right to

A. Elect the board of directors on the basis of one vote per policy owner

B. Elect the board of directors on the basis of one vote for each policy a person owns

C. Participate in developing a corporate mission statement and strategic plans

D. Receive stock dividends for each policy they own

Show Answer
Questions 3

Third party administrators (TPAs) provide various administrative services to health plans or groups that provide health benefit plans to their employees or members. Many state laws that regulate TPAs are based on the NAIC Third Party Administrator Model Statute. One provision of the TPA Model Law is that it

A. Prohibits TPAs from performing insurance functions such as underwriting and claims processing

B. Prohibits TPAs from entering into an agreement under which the amount of the TPA's compensation is based on the amount of premium or charges the TPA collects

C. Requires TPAs, upon the termination of a TPA agreement with a group, to immediately transfer all its records relating to the group to the new administrator

D. Requires TPAs to notify the state insurance department immediately following any material change in the TPA's ownership or control

Show Answer
Questions 4

Arthur Dace, a plan member of the Bloom health plan, tried repeatedly over an extended period to schedule an appointment with Dr. Pyle, his primary care physician (PCP). Mr. Dace informally surveyed other Bloom plan members and found that many people were experiencing similar problems getting an appointment with this particular provider. Mr. Dace threatened to take legal action against Bloom, alleging that the health plan had deliberately allowed a large number of patients to select Dr. Pyle as their PCP, thus making it difficult for patients to make appointments with Dr. Pyle.

Bloom recommended, and Mr. Dace agreed to use, an alternative dispute resolution (ADR) method that is quicker and less expensive than litigation. Under this ADR method, both Bloom and Mr. Dace presented their evidence to a panel of medical and legal experts, who issued a decision that Bloom's utilization management practices in this case did not constitute a form of abuse. The panel's decision is legally binding on both parties.

Different types of compensation arrangements in managed care plans, from fee-for-service (FFS) arrangements to capitation arrangements, lead to different types of fraud and abuse. From the answer choices below, select the response that identifies the form of abuse in which Bloom is allegedly engaging, according to Mr. Dace's complaint, and whether this form of abuse is more likely to occur in FFS compensation arrangements or in capitation arrangements.

A. Type of abuse underutilization Type of compensation arrangement FFS arrangement

B. Type of abuse underutilization Type of compensation arrangement capitation arrangement

C. Type of abuse overutilization Type of compensation arrangement FFS arrangement

D. Type of abuse overutilization Type of compensation arrangement capitation arrangement

Show Answer
Questions 5

In the paragraph below, a statement contains two pairs of terms enclosed in parentheses.

Determine which term in each pair correctly completes the statement. Then select the answer choice containing the two terms that you have chosen.

Inflation plays a role in the health plan environment by influencing the prices of healthcare services, supplies, and coverage. During an inflationary period, consumers typically have (more / less) purchasing power because the prices of goods and services increase (more / less) quickly than income.

A. More / more

B. More / less

C. Less / more

D. Less / less

Show Answer More Questions

Add Comments

Comment will be moderated and published within 1-4 hours

Success Stories

  • Sri Lanka
  • Whalen
  • Mar 28, 2024
  • Rating: 4.1 / 5.0

This dumps is very valid, and i have passed the exam perfectly. Thanks very much, I will continue using it.


  • United Kingdom
  • Carlos
  • Mar 27, 2024
  • Rating: 4.9 / 5.0

I purchased the dumps one month ago and I learned a lot from the dumps. I will attend the exam tomorrow, I feel very confident now. Good luck to me.


  • India
  • John
  • Mar 22, 2024
  • Rating: 4.9 / 5.0

hi guys I had my exam yesterday and passed. It is really a good dumps. Thanks very much.


  • Jordan
  • Lisa
  • Mar 21, 2024
  • Rating: 4.4 / 5.0

thanks god and thank you all. 100% valid. you can trust on it.


  • Australia
  • Jordan
  • Mar 20, 2024
  • Rating: 4.8 / 5.0

The version is complete and accurate. The most important is that this dumps update quickly and there are many new questions . So I felt confident in exam. Recommend.


  • Jordan
  • Zard
  • Mar 20, 2024
  • Rating: 4.4 / 5.0

This file is so much valid, I passed the AHM-510 exam successfully. thanks for my friend introduce this dumps to me.


  • Greece
  • Ramon
  • Mar 19, 2024
  • Rating: 4.9 / 5.0

The answers are accurate. Well you should notice some of the questions are slightly changed. Be careful.


  • Yemen
  • Nikolai
  • Mar 19, 2024
  • Rating: 5.0 / 5.0

Great dumps! I have passed the exam by using this dumps only half a month. I will share with my friend.


  • United States
  • Zouleha
  • Mar 19, 2024
  • Rating: 5.0 / 5.0

Update quickly and be rich in content,this dumps is really valid. Thanks.


  • Israel
  • Zuzi
  • Mar 19, 2024
  • Rating: 4.2 / 5.0

i'm so happy that i passed the exam with full score, thanks for this dumps, thanks all.