AHIP 2024 Final Exam Test Questions and Answers Updated (Verified Answers)

AHIP 2024 Final Exam Test Questions and Answers Updated (Verified Answers) 1. Which of the following is NOT a primary goal of managed care organizations? A) Cost control B) Quality improvement C) Maximizing profits D) Patient satisfaction Answer: C) Maximizing profits Explanation: Managed care organizations focus on controlling costs, improving quality, and increasing patient satisfaction. While they aim to be financially viable, maximizing profits is not typically listed as a primary goal. Profitability is important but not at the expense of the other three main goals. 2. Which of the following is true regarding a Health Maintenance Organization (HMO)? A) Patients have unrestricted access to specialists B) Referrals are required for seeing specialists C) HMOs typically have higher out-of-pocket costs D) HMOs do not require primary care physicians Answer: B) Referrals are required for seeing specialists Explanation: HMOs require patients to have a primary care physician (PCP) who manages their care. Referrals from the PCP are generally needed to see specialists within the network. This referral system helps coordinate care and control costs.