READ Free Dumps For AHIP- AHM-510

Question ID 17152	Health maintenance organizations (HMOs) seeking federal qualification under the HMO Act of 1973 and its amendments must meet requirements in four basic operational areas. One operational requirement for qualification is that an HMO must
Option A	Ensure that at least 1/3 of its policy-making body is comprised of HMO members
Option B	Ensure that there is adequate representation of underserved communities on its policy- making body
Option C	Have an ongoing quality assurance program that meets the requirements of the Centers for Medicaid & Medicare Services (CMS), stresses health outcomes, and provides for review by health professionals
Option D	Test, safeguard, and promote quality of care by following detailed programmatic techniques that are explained in CMS's Federally Qualified HMO (FQHMO) Manual
Correct Answer	C

Explanation

Question ID 17153	One typical difference between a for-profit health plan's board of directors and a not-for- profit health plan's board of directors is that the directors in a for-profit health plan
Option A	Can serve on the board for a period of no more than ten years, whereas the terms of service for a not-for-profit board's directors are usually unlimited by the director's age or by a preset maximum number of years of service
Option B	Must participate in raising capital for the health plan, whereas a not-for-profit board's directors are prohibited from participating directly in raising capital for the health plan
Option C	Are directly accountable to shareholders, whereas a not-for-profit board's directors are accountable to plan members and the community
Option D	Are not compensated for board participation, whereas a not-for-profit board's directors are compensated for board participation
Correct Answer	C

Explanation

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