AHIP Exam AHM-520 Topic 5 Question 80 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 80
Topic #: 5

A health plan that capitates a provider group typically provides or offers to provide stop-loss coverage to that provider group.

ATrue

BFalse

Show Suggested Answer

Suggested Answer: C

by Lucy at Jan 22, 2024, 06:04 AM

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5 days ago

True. Even though the provider group is paid per patient, there could still be unexpected high costs that the health plan wants to protect against.

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6 days ago

False. Capitation means the provider group is paid a fixed amount per patient, so they would not need stop-loss coverage.

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7 days ago

True. The health plan would want to limit their financial risk by offering stop-loss coverage.

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8 days ago

Why do you think it's False?

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10 days ago

I disagree, I believe the answer is False.

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15 days ago

I think the answer is True.

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