Summer Sale Limited Time 65% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: ecus65

AHIP AHM-510 - Governance and Regulation

AHIP AHM-510 Premium Access     Download Demo    
Page: 3 / 3
Total 76 questions

The board of directors of the Garnet Health Plan, an integrated delivery system (IDS), includes physicians and hospital representatives who sometimes feel compelled to represent a specific organization that is only one part of the IDS. Such a circumstance can lead to ___________, which is a situation in which the members of the board focus on the best interests of component parts of the enterprise rather than on the best interests of Garnet as a whole.

A.

An enterprise-focused board

B.

Representational governance

C.

Enterprise liability

D.

Boundary spanning

Regulatory and legislative bodies are among the important environmental forces in the health plan industry. The following statements are about such regulation and legislation. Select the answer choice that contains the correct statement.

A.

Federal guidelines exist to direct health plans on compliance issues when a health plan encounters conflicting state laws in a given service area.

B.

Administrative rules and regulations do not carry the force of law.

C.

As stakeholders in the health plan industry, federal and state governments exert tremendous influence over a health plan's formation and operations.

D.

In recent years, the number of health plan bills in the state and the federal legislatures has decreased.