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AHIP AHM-520 Exam - Topic 3 Question 7 Discussion

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 $300,000This information indicates that Hardcastle's medical loss ratio (MLR) for the month of June was approximately equal to:
C) 83%
A) 40%
B) 67%
D) 120%

AHIP AHM-520 Exam - Topic 3 Question 7 Discussion

Actual exam question for AHIP's AHM-520 exam
Question #: 7
Topic #: 3
[All AHM-520 Questions]

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:

Show Suggested Answer Hide Answer
Suggested Answer: C

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

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Candra
11 months ago
Totally agree, C is the right answer!
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Judy
11 months ago
Wait, how can the MLR be over 100%? That doesn't make sense.
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Wynell
11 months ago
Definitely option C, 83% is spot on!
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Ashlyn
11 months ago
So, it's 100,000 / 120,000? That’s about 83%.
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Lili
11 months ago
MLR is calculated as incurred claims divided by earned premiums.
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Nichelle
12 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
12 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
12 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.
upvoted 0 times
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Ty
12 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.
upvoted 0 times
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