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READ Free Dumps For AHIP- AHM-540





Question ID 21614

The delivery of quality, cost-effective healthcare is a primary goal of both group healthcare
and workers compensation programs. One difference between group healthcare and
workers compensation is that workers compensation

Option A

 provides health and disability benefits to employees injured on the job only if the employer is at fault for the injury

Option B

provides coverage for a variety of direct and indirect healthcare, disability, and workplace costs

Option C

 manages costs by including employee cost-sharing features in its benefit design

Option D

places limits on benefits by restricting the amount of benefit payments or the number of covered hospital days or provider office visits

Correct Answer B
Explanation


Question ID 21615

Many health plans use HRA to target their preventive care programs to the healthcare
needs of their members. With regard to HRA, it is correct to say that

Option A

 Health plans rarely delegate HRA activities to external entities

Option B

Health plans typically focus their HRA efforts on newly enrolled members

Option C

HRA focuses on clinical data for an entire population and does not include demographic information that might identify individual members

Option D

HRA is generally a reliable predictor of medical resource utilization

Correct Answer B
Explanation

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