AHIP Exam AHM-520 Topic 6 Question 73 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 73
Topic #: 6

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

AThird party administrator (TPA)

BUtilization review organization (URO)

CPreferred provider organization (PPO)

DPharmacy benefit management (PBM) plan

Show Suggested Answer

Suggested Answer: C

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

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Hyman

1 days 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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Shawnee

6 days 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

10 days 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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Lon

18 days 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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