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AHIP AHM-520 Exam - Topic 6 Question 73 Discussion

A key factor that distinguishes the various types of health plans is the type and amount of risk that a health plan assumes with respect to the delivery and financing of healthcare benefits. An example of a type of health plan that typically assumes the financial risk of delivering and financing healthcare benefits is a
C) Preferred provider organization (PPO)
A) Third party administrator (TPA)
B) Utilization review organization (URO)
D) Pharmacy benefit management (PBM) plan

AHIP AHM-520 Exam - Topic 6 Question 73 Discussion

Actual exam question for AHIP's AHM-520 exam
Question #: 73
Topic #: 6
[All AHM-520 Questions]

A key factor that distinguishes the various types of health plans is the type and amount of risk that a health plan assumes with respect to the delivery and financing of healthcare benefits. An example of a type of health plan that typically assumes the financial risk of delivering and financing healthcare benefits is a

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Suggested Answer: C

by Rikki at Aug 07, 2023, 07:02 PM

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Gladys
10 months ago
Interesting! I didn't realize PPOs had that much responsibility.
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Paris
10 months ago
Nope, PBMs manage drug benefits, not overall healthcare risk.
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Louisa
10 months ago
Wait, are you sure about that? I thought TPAs handled the risk.
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Cyndy
11 months ago
Totally agree, PPOs are the way to go for flexibility!
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Francoise
11 months ago
PPOs usually take on financial risk for healthcare costs.
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Delisa
11 months ago
I’m leaning towards the URO, but I remember they mainly focus on reviewing services rather than taking on financial risk. This is tricky!
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Kallie
11 months ago
I practiced a question similar to this, and I think it was about how PPOs negotiate with providers. That might be relevant here.
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Dick
11 months ago
I feel like TPAs don't actually assume financial risk; they just administer the plans. I might be confusing them with something else.
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Rickie
12 months ago
I think the answer might be PPO, but I'm not entirely sure. I remember something about them managing risk differently than other plans.
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Aja
12 months ago
Okay, let me see. The key factors are likely related to the device's network or hardware properties. I'll start by eliminating the options that don't seem relevant.
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Adaline
12 months ago
I've got a good feeling about this question. The job worth hierarchy is all about establishing the relative value of different roles, which then allows you to group similar jobs and set appropriate compensation levels. I'll confidently select option E as the best answer.
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Reta
12 months ago
Okay, I've got this. The key is remembering that controlling risk involves taking preventative measures, while transferring risk means purchasing insurance to cover potential losses. I'm confident I can get this right.
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Lottie
1 year ago
I wonder if the exam question authors ever get tired of asking about health plans. Maybe they should mix it up with a knock-knock joke or two, just to keep us on our toes!
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Evangelina
1 year ago
D) Pharmacy benefit management (PBM) plan
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Cordell
1 year ago
A) Third party administrator (TPA)
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Lili
1 year ago
C) Preferred provider organization (PPO)
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Hyman
1 year ago
Ah, this one's easy! A PPO plan is the answer, since they're the ones who shoulder the financial risk. Piece of cake!
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Hobert
1 year ago
Yeah, PPO plans are a popular choice for many people.
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Corazon
1 year ago
TPAs are more about administrative services, not financial risk.
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Ma
1 year ago
I think PPO plans are more flexible with providers too.
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Xuan
1 year ago
I agree, PPO plans definitely take on the financial risk.
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Jani
1 year ago
PBM plans focus more on managing prescription drug benefits.
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Billye
1 year ago
TPA plans are also common in managing healthcare benefits.
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Lai
1 year ago
I think PPO plans are a good choice for those who want more flexibility in choosing healthcare providers.
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Lakeesha
1 year ago
I agree, PPO plans definitely take on the financial risk.
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Xuan
1 year ago
PPO plans are known for assuming the financial risk in healthcare benefits.
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Nikita
1 year ago
I think PPO plans are the way to go when it comes to assuming financial risk.
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Val
1 year ago
I agree, PPO plans definitely take on the financial risk.
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Shawnee
1 year ago
Hmm, I was a bit unsure between C and D, but I think C is the right choice. A PPO plan takes on the financial risk, while a PBM plan just manages the pharmacy benefits.
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Pamella
1 year ago
A PPO plan typically assumes the financial risk of delivering and financing healthcare benefits, so C is the correct answer. This is a straightforward question.
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Kenda
1 year ago
Yes, you are correct. PPO plans typically assume the financial risk of delivering and financing healthcare benefits.
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Paul
1 year ago
I think the correct answer is C) Preferred provider organization (PPO).
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Lon
1 year ago
This question is testing our understanding of the different types of health plans and the risk they assume. I think the answer is C) Preferred provider organization (PPO).
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Tonette
1 year ago
UROs focus more on reviewing and managing healthcare utilization, rather than assuming financial risk.
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Tashia
1 year ago
TPAs and PBMs usually do not assume as much financial risk as PPOs.
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Bo
1 year ago
I agree, PPOs typically assume the financial risk of delivering and financing healthcare benefits.
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Samuel
1 year ago
I think the answer is C) Preferred provider organization (PPO).
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Silva
1 year ago
I'm not sure about PPOs. I think it could also be A) Third party administrator (TPA) because they handle claims and assume some financial risk.
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Margret
1 year ago
I agree with Becky. PPOs negotiate discounts with healthcare providers and assume some financial risk.
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Becky
1 year ago
I think the answer is C) Preferred provider organization (PPO). PPOs often assume financial risk.
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