AHIP AHM-520 Exam - Topic 4 Question 39 Discussion
Correct statements about the financial risks associated with benefits that health plans provide to the Medicare and Medicaid markets include:
A) That, because the government sets the payments received by health plans, the health plans cannot easily obtain an increase in those payments even in the face of rising costs
B) That regulators determine which services must be provided under Medicare and Medicaid and which persons are eligible to enroll in a plan
C) That there is typically more provider reluctance to accept risk in connection with providing services to the Medicaid population than with providing services to the Medicare population
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