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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Wynell

1 months ago

Underwriting risk, credit risk, net worth requirement - it's a whole alphabet soup of acronyms! I hope I can keep it all straight.

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Otis

6 days ago

User 3: That makes sense, transferring risk can impact all those areas.

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Jacquline

9 days ago

User 2: I think the answer is D) All of the above.

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Genevive

15 days ago

User 1: It can be confusing, but we'll figure it out.

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Aleisha

2 months ago

Ah, the joys of health plan reimbursement methods! It's like a game of financial Tetris, trying to figure out how it all fits together.

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Nieves

4 days ago

D) All of the above

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Venita

9 days ago

B) A decrease the health plan's credit risk

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Allene

24 days ago

A) An increase the health plan's underwriting risk

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Markus

2 months ago

I'm not sure about this one. Do these reimbursement methods really affect the RBC formula? I'll have to think about it.

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Margart

9 days ago

It could potentially decrease the health plan's credit risk as well.

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Lizbeth

13 days ago

It may increase the health plan's underwriting risk.

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Dong

2 months ago

I believe it transfers some utilization risk from the health plan to providers.

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Tennie

2 months ago

I think these reimbursement methods do affect the RBC formula.

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Kris

2 months ago

Hmm, this seems straightforward. I'm going with option D - it covers all the bases.

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Coral

28 days ago

User 2: Yeah, it covers all the possible outcomes.

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Sharika

1 months ago

User 1: I agree, option D seems like the safest choice.

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Silvana

2 months ago

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

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Rebbecca

2 months ago

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

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Silvana

2 months ago

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

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Rebbecca

2 months ago

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

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Latonia

2 months ago

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

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Ira

2 months ago

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

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Latonia

2 months ago

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

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Ira

3 months ago

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

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