READ Free Dumps For AHIP- AHM-510

Question ID 17166	In 1994, the Department of Justice (DOJ) and the Federal Trade Commission (FTC) revised their 1993 healthcare-specific antitrust guidelines to include analytical principles relating to multiprovider networks. Under the new guidelines, the regulatory agencies will use the rule ofreason to analyze joint pricing activities by competitors in physician or multiprovider networks only if
Option A	Provider integration under the network is likely to produce significant efficiencies that benefit consumers
Option B	The providers in a network share substantial financial risk
Option C	The combining of providers into a joint venture enables the providers to offer a new product
Option D	All of the above
Correct Answer	A

Explanation

Question ID 17167	A federal law that significantly affects health plans is the Health Insurance Portability and Accountability Act of 1996 (HIPAA). In order to comply with HIPAA provisions, issuers offering group health coverage generally must.
Option A	Renew group health policies in both small and large group markets, regardless of the health status of any group member
Option B	Provide a plan member with a certificate of creditable coverage at the time the member enrolls in the group plan
Option C	Both A and B
Option D	A only
Option E	B only
Option F	Neither A nor B
Correct Answer	B

Explanation

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