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AHIP AHM-520 Exam - Topic 2 Question 13 Discussion

The following statements are about state health coverage reinsurance programs.
B) The purpose of these programs is to reinsure MCOs and other carriers who offer guaranteed healthcare plans to small employers.
A) The reinsurance offered through these programs is administered on a for-profit basis by the federal government.
C) These programs must reinsure only an entire small group, not specific individuals within a group.
D) Any shortfalls in the pool established by these programs are funded by the state government.

AHIP AHM-520 Exam - Topic 2 Question 13 Discussion

Actual exam question for AHIP's AHM-520 exam
Question #: 13
Topic #: 2
[All AHM-520 Questions]

The following statements are about state health coverage reinsurance programs.

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Suggested Answer: B

by Jutta at May 03, 2022, 07:05 AM

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Yvonne
9 months ago
Just to clarify, these programs are state-run, right?
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Jospeh
9 months ago
Yup, state funding for shortfalls is a must!
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Iluminada
10 months ago
Wait, they only cover entire groups? That seems odd.
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Marsha
10 months ago
Totally agree, it's meant to help small employers!
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Chun
10 months ago
The reinsurance is actually non-profit, not for-profit.
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Alecia
10 months ago
This question seems straightforward, I should be able to work through it step-by-step.
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Mertie
10 months ago
Hmm, I'm a bit unsure here. I'm trying to decide between A and B. Setting default permissions with the restrictions on the business unit could also work, but I'm not 100% sure if that's the most efficient approach.
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Glory
10 months ago
Validation rules are usually for data validation, so I don't think that's the right approach for this scenario. Workflow rules could work, but they're a bit more limited than Process Builder. I'd lean towards Process Builder as the best option to handle both the renewal opportunity and the external team notification.
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Dalene
10 months ago
Okay, I've got this. The PSH flag is the one that tells the sending system to transmit all buffered data immediately. That's the key thing I remember from our TCP/IP unit. I'm confident that's the right answer.
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Yoko
10 months ago
Okay, let's see. A user logging in illegally could potentially cause issues, but that doesn't seem directly related to the CPU being elevated. Network loops and cyber attacks seem more likely culprits. I'll mark those as my top choices.
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