AHIP AHM-520 Exam - Topic 3 Question 7 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 7
Topic #: 3

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:

A40%

B67%

C83%

D120%

Show Suggested Answer

Suggested Answer: C

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

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Candra

5 months ago

Totally agree, C is the right answer!

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Judy

5 months ago

Wait, how can the MLR be over 100%? That doesn't make sense.

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Wynell

5 months ago

Definitely option C, 83% is spot on!

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Ashlyn

5 months ago

So, it's 100,000 / 120,000? That’s about 83%.

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Lili

5 months ago

MLR is calculated as incurred claims divided by earned premiums.

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Nichelle

6 months ago

I'm pretty confident this is asking about constrained optimization, which is what linear programming is all about. I'll mark that option.

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Virgie

6 months 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.

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Jordan

6 months 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.

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Ty

6 months 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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