AHIP Exam AHM-520 Topic 3 Question 87 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 87
Topic #: 3

Provider reimbursement methods that transfer some utilization risk from a health plan to providers affect the health plan's RBC formul

a. A health plan's use of these reimbursement methods is likely to result in

AAn increase the health plan's underwriting risk

BA decrease the health plan's credit risk

CA decrease the health plan's net worth requirement

DAll of the above

Show Suggested Answer

Suggested Answer: C

by Rozella at May 11, 2024, 08:09 PM

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Silvana

6 hours ago

I believe so, as it shifts some of the risk to the providers.

upvoted 0 times

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Rebbecca

1 days ago

So, do you think using these methods will increase the health plan's underwriting risk?

upvoted 0 times

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Silvana

2 days ago

Yes, it can transfer some utilization risk from the health plan to providers.

upvoted 0 times

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Rebbecca

4 days ago

I think provider reimbursement methods can impact a health plan's RBC formula.

upvoted 0 times

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Latonia

5 days ago

I believe so, as it shifts some of the risk to the providers.

upvoted 0 times

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Ira

6 days ago

So, do you think it would increase the health plan's underwriting risk?

upvoted 0 times

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Latonia

12 days ago

Yes, it can transfer some utilization risk from the health plan to providers.

upvoted 0 times

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Ira

16 days ago

I think provider reimbursement methods can impact a health plan's RBC formula.

upvoted 0 times

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