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AHIP AHM-520 Exam - Topic 3 Question 7 Discussion

Posted by Janine on May 06, 2022 at 01:53 AM

The following information relates to the Hardcastle Health Plan for the month of June:

-Incurred claims (paid and IBNR) equal $100,000 -Earned premiums equal $120,000 -Paid claims, excluding IBNR, equal $80,000 -Total health plan expenses equal $300,000

This information indicates that Hardcastle's medical loss ratio (MLR) for the month of June was approximately equal to:

Suggested Answer: C

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9 comments · newest first
CA
Candra 1 year ago
Totally agree, C is the right answer!
JU
Judy 1 year ago
Wait, how can the MLR be over 100%? That doesn't make sense.
WY
Wynell 1 year ago
Definitely option C, 83% is spot on!
AS
Ashlyn 1 year ago
So, it's 100,000 / 120,000? That’s about 83%.
LI
Lili 1 year ago
MLR is calculated as incurred claims divided by earned premiums.
NI
Nichelle 1 year ago
I'm pretty confident this is asking about constrained optimization, which is what linear programming is all about. I'll mark that option.
VI
Virgie 1 year ago
I'm a bit confused on this one. I'm not sure how a honeypot would be used for a MITM attack specifically. I'll need to review my notes on that.
JO
Jordan 1 year ago
Okay, let me think this through. The key is understanding when assignment rules are triggered in the Omni-Channel routing process. I'll need to pay close attention to that.
TY
Ty 1 year ago
I think there was a practice question similar to this, and I chose false because I recall it limits to Alibaba's ecosystem.
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