AHIP AHM-520 Exam - Topic 1 Question 22 Discussion

Question

The types of financial risks and costs to which a health plan is subject depends on whether the health plan provides services to the Medicare and/or Medicaid populations or to the commercial population. One distinction between providing services to the Medicare and Medicaid populations and to the commercial population is that Medicare and Medicaid enrollees typically:

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C) Have higher incidences of chronic illness than do enrollees from the commercial population

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A) Are locked into a plan for a 12-month period, whereas enrollees from the commercial population may disenroll from a plan on a monthly basis

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B) Require less enrollee education than do enrollees from the commercial population

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D) Are enrolled in a health plan through a group situation, whereas the commercial population typically enrolls in a health plan on an individual basis