Which of the following statements is true?

A larger patient population increases pressure on the health plan to offer larger panels.

A declining economy can lead to lower healthcare costs as a result of an older population with greater healthcare needs.

Provider networks are not affected by the federal and state laws that apply to health plans

Network management standards established by independent accrediting organizations have no influence on health plan network design.

From the following answer choices, choose the description of the ethical principle that best corresponds to the term Beneficence

Health plans and their providers should treat each member in a manner that respects the member's goals and values, and they also have a duty to promote the good of the members as a group

Health plans and their providers are obligated not to harm their members

Health plans and their providers should allocate resources in a way that fairly distributes benefits and burdens among the members

Health plans and their providers have a duty to respect the right of their members to make decisions about the course of their lives

Consumer-directed health plans are not a new concept. They actually got their start in the late 1970s with the advent of:

Flexible spending arrangements (FSAs)

Health reimbursement arrangements (HRAs)

Medical savings accounts (MSAs)

By definition, a health plan's network refers to the

group of physicians, hospitals, and other medical care providers with whom the plan has contracted to deliver medical services to its members

organizations and individuals involved in the consumption of healthcare provided by the plan

relative accessibility of the plan's providers to the plan's participants

integration of the plan's participants with the plan's providers

As part of its utilization management (UM) system, the Creole Health Plan uses a process known as case management. The following individuals are members of the Creole Health Plan: -Jill Novacek, who has a chronic respiratory condition. -Abraham Rashad.

Ms. Novacek, Mr. Rashad, and Mr. Devereaux

Ms. Novacek and Mr. Rashad only

Ms. Novacek and Mr. Devereaux only

Free AHIP AHM-250 Exam Practice Questions & Explanations

Last updated on: Oct 1, 2026
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