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AHIP AHM-520 Exam - Topic 3 Question 99 Discussion

One true statement about a type of capitation known as a percent-of-premium arrangement is that this arrangement
C) Sets provider reimbursement at a specific dollar amount per plan member
A) Is the most common type of capitation
B) Is less attractive to providers when the arrangement sets provisions to limit risk
D) Transfers some of the risk associated with underwriting and rating from a health plan to a provider

AHIP AHM-520 Exam - Topic 3 Question 99 Discussion

Actual exam question for AHIP's AHM-520 exam
Question #: 99
Topic #: 3
[All AHM-520 Questions]

One true statement about a type of capitation known as a percent-of-premium arrangement is that this arrangement

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Suggested Answer: C

by Tawny at Sep 14, 2024, 02:26 PM

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Hyman
8 months ago
I thought all capitation was about fixed payments per member.
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Arletta
8 months ago
Yeah, limiting risk makes it less attractive for providers, totally!
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Coleen
9 months ago
Wait, are we sure it transfers risk to providers? That sounds off.
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Angelyn
9 months ago
I agree, it’s more about risk transfer than just reimbursement amounts.
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Juliann
9 months ago
A percent-of-premium arrangement is definitely not the most common type of capitation.
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Carin
9 months ago
I vaguely recall that capitation usually involves a set dollar amount per member, but I can't remember if that applies to percent-of-premium specifically.
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Ula
10 months ago
I keep mixing up the definitions of capitation types, so I’m uncertain if limiting risk makes it less attractive to providers.
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Caitlin
10 months ago
I feel like option D sounds familiar because it mentions risk transfer, which is something we discussed in class.
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Grover
10 months ago
I think I remember that percent-of-premium arrangements are not the most common type of capitation, but I'm not sure what the most common one is.
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Carla
10 months ago
This is a tricky one. I know percent-of-premium is a type of capitation, but I can't recall the specifics of how it differs from the other options. I'll have to review my notes and try to reason through the differences.
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Delila
10 months ago
Okay, I remember learning about capitation arrangements in class. I believe a percent-of-premium setup is where the provider gets a percentage of the premium instead of a set dollar amount per member. That sounds like it would transfer risk to the provider.
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Grover
10 months ago
This question seems pretty straightforward. I think the answer is D - a percent-of-premium arrangement transfers some of the risk from the health plan to the provider.
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Arthur
10 months ago
Hmm, I'm not totally sure about this one. The options seem pretty similar, and I'm having trouble distinguishing between them. I'll have to think this through carefully.
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Katy
1 year ago
This question is like a financial sudoku puzzle, but I think I've got it figured out. Option D is the way to go, it's the only one that really makes sense.
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Katy
1 year ago
I'm not sure about option A being the most common type of capitation, but option D definitely seems like the right answer.
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Susana
1 year ago
I think option C is also a good choice, setting reimbursement at a specific dollar amount per plan member can be beneficial.
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Earlean
1 year ago
I agree, option D is the best choice. It makes sense to transfer some of the risk to the provider.
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Angelyn
1 year ago
Option A seems tempting, but I don't think it's the most common type of capitation. I'm going to go with option D, it makes the most sense to me.
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Kiley
1 year ago
Option B is less attractive to providers when limiting risk.
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Vanesa
1 year ago
I think option C sets a specific dollar amount per plan member.
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Chau
1 year ago
I agree, option D transfers some of the risk to the provider.
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Ethan
1 year ago
Haha, this question is like a game of financial Russian roulette! I'll go with option C - setting a specific dollar amount per plan member sounds like the safest bet to me.
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Serina
1 year ago
I agree with you, setting a specific dollar amount per plan member does seem like a safer option.
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Glen
1 year ago
I'm not so sure about that, I think option D might actually be the correct answer.
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Desiree
1 year ago
I think option C is a good choice too, it does sound like a safer bet.
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Tuyet
1 year ago
I'm not sure about this one. The question is a bit tricky, but I'm leaning towards option D. It seems like the percent-of-premium arrangement shifts some of the risk to the provider.
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Paola
1 year ago
I think option B is the correct answer. Percent-of-premium arrangements transfer some of the risk to the provider, making it less attractive when there are provisions to limit that risk.
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Lashaunda
1 year ago
I'm not sure, but C also sounds plausible as it mentions specific dollar amount per plan member
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Abel
1 year ago
I agree with Margart, D makes sense because it mentions transferring risk
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Margart
1 year ago
I think the answer is D
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Kerrie
1 year ago
I'm not sure, but C also sounds plausible to me
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Arlette
1 year ago
I agree with Xochitl, D makes sense because it mentions transferring risk
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Xochitl
1 year ago
I think the correct answer is D
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