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AHIP AHM-520 Exam - Topic 3 Question 99 Discussion

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

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

Suggested Answer: C

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33 comments · newest first
HY
Hyman 11 months ago
I thought all capitation was about fixed payments per member.
AR
Arletta 11 months ago
Yeah, limiting risk makes it less attractive for providers, totally!
CO
Coleen 12 months ago
Wait, are we sure it transfers risk to providers? That sounds off.
AN
Angelyn 12 months ago
I agree, it’s more about risk transfer than just reimbursement amounts.
JU
Juliann 1 year ago
A percent-of-premium arrangement is definitely not the most common type of capitation.
CA
Carin 1 year 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.
UL
Ula 1 year ago
I keep mixing up the definitions of capitation types, so I’m uncertain if limiting risk makes it less attractive to providers.
CA
Caitlin 1 year ago
I feel like option D sounds familiar because it mentions risk transfer, which is something we discussed in class.
GR
Grover 1 year 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.
CA
Carla 1 year 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.
DE
Delila 1 year 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.
GR
Grover 1 year 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.
AR
Arthur 1 year 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.
KA
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.
KA
Katy 1 year ago
↳ replying to Katy
I'm not sure about option A being the most common type of capitation, but option D definitely seems like the right answer.
SU
Susana 1 year ago
↳ replying to Katy
I think option C is also a good choice, setting reimbursement at a specific dollar amount per plan member can be beneficial.
EA
Earlean 1 year ago
↳ replying to Katy
I agree, option D is the best choice. It makes sense to transfer some of the risk to the provider.
AN
Angelyn 2 years 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.
KI
Kiley 1 year ago
↳ replying to Angelyn
Option B is less attractive to providers when limiting risk.
VA
Vanesa 1 year ago
↳ replying to Angelyn
I think option C sets a specific dollar amount per plan member.
CH
Chau 1 year ago
↳ replying to Angelyn
I agree, option D transfers some of the risk to the provider.
ET
Ethan 2 years 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.
SE
Serina 1 year ago
↳ replying to Ethan
I agree with you, setting a specific dollar amount per plan member does seem like a safer option.
GL
Glen 1 year ago
↳ replying to Ethan
I'm not so sure about that, I think option D might actually be the correct answer.
DE
Desiree 1 year ago
↳ replying to Ethan
I think option C is a good choice too, it does sound like a safer bet.
TU
Tuyet 2 years 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.
PA
Paola 2 years 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.
LA
Lashaunda 2 years ago
I'm not sure, but C also sounds plausible as it mentions specific dollar amount per plan member
AB
Abel 2 years ago
I agree with Margart, D makes sense because it mentions transferring risk
MA
Margart 2 years ago
I think the answer is D
KE
Kerrie 2 years ago
I'm not sure, but C also sounds plausible to me
AR
Arlette 2 years ago
I agree with Xochitl, D makes sense because it mentions transferring risk
XO
Xochitl 2 years ago
I think the correct answer is D
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