Healthcare Management: An Introduction

Here you have the best AHIP AHM-250 practice exam questions

You have 363 total questions across 73 pages (5 per page)
These questions were last updated on February 16, 2026
This site is not affiliated with or endorsed by AHIP.

Question 1 of 363

The following statements describe two types, or models, of HMOs:
The Quest HMO has contracted with only one multi-specialty group of physicians. These physicians are employees of the group practice, have an equity interest in the practice, and provide

A captive group a staff model

A captive group a network model

An independent group a network model

An independent group a staff model

Question 2 of 363

______________ HMOs can't medically underwrite any group – incl small groups.

State

Not-for-profit

For-profit

Federally qualified

Question 3 of 363

A common physician-only integrated model is a group practice without walls (GPWW). One characteristic of a typical GPWW is that the

GPWW combines multiple independent physician practices under one umbrella organization

GPWW generally has a lesser degree of integration than does an IPA

member physicians cannot own the GPWW

GPWW's member physicians must perform their own business operations

Question 4 of 363

A health plan may use one of several types of community rating methods to set premiums for a health plan. The following statements are about community rating. Select the answer choice containing the correct statement.

Standard (pure) community rating is typically used for large groups because it is the most competitive rating method for large groups.

Under standard (pure) community rating, a health plan charges all employers or other group sponsors the same dollar amount for a given level of medical benefits or health plan, without adjusting for factors such as age, gender, or experience.

In using the adjusted community rating (ACR) method, a health plan must consider the actual experience of a group in developing premium rates for that group.

The Centers for Medicare and Medicaid Services (CMS) prohibits health plans that assume Medicare risk from using the adjusted community rating (ACR) me

Question 5 of 363

A health plan's ability to establish an effective provider network depends on the characteristics of the proposed service area and the needs of proposed plan members. It is generally correct to say that

health plans have more contracting options if providers are affiliated with single entities than if providers are affiliated with multiple entities

urban areas offer more flexibility in provider contracting than do rural areas

consumers and purchasers in markets with little health plan activity are likely to be more receptive to HMOs than to loosely managed plans such as PPOs

large employers tend to adopt health plans more slowly than do small companies

About the AHIP AHM-250 Certification Exam

About the Exam

The AHIP AHM-250 (Healthcare Management: An Introduction) validates your knowledge and skills. Passing demonstrates proficiency and can boost your career prospects in the field.

How to Prepare

Work through all 363 practice questions across 73 pages. Focus on understanding the reasoning behind each answer rather than memorizing responses to be ready for any variation on the real exam.

Why Practice Exams?

Practice exams help you familiarize yourself with the question format, manage your time, and reduce anxiety on the test day. Our AHM-250 questions are regularly updated to reflect the latest exam objectives.