AHIP Exam AHM-520 Topic 4 Question 101 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 101
Topic #: 4

With regard to the major risk factors associated with group underwriting, it can correctly be stated that, typically,

AThe age and gender of group plan members are not predictors of utilization of health services by group members

BA health plan's product design or delivery system has an impact on member selection of the health plan, unless the members are in an environment in which employees have at least two benefit options or health plans from which to choose

CA health plan should track demographic factors of groups only if the plan specifically adjusts for demographic factors on a group basis

DA large group is more likely to exhibit a consistent claims pattern, level of healthcare cost, or utilization of services than is a small group

Show Suggested Answer

Suggested Answer: B

by Nenita at Sep 14, 2024, 04:22 PM

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18 days ago

Option D sounds about right. Larger groups tend to have more consistent claims and utilization patterns compared to smaller groups. The law of large numbers and all that, you know.

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Youlanda

2 days ago

Yes, larger groups definitely have more predictable patterns.

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Refugia

18 days ago

I agree, it's crucial to understand how age, gender, and group size can impact healthcare costs.

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Vincenza

19 days ago

I think the major risk factors associated with group underwriting are important to consider in the exam.

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