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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Lottie

1 months 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

3 days ago

D) Pharmacy benefit management (PBM) plan

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Cordell

4 days ago

A) Third party administrator (TPA)

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Lili

26 days ago

C) Preferred provider organization (PPO)

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Hyman

2 months 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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Xuan

16 hours ago

I agree, PPO plans definitely take on the financial risk.

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Jani

2 days ago

PBM plans focus more on managing prescription drug benefits.

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Billye

3 days ago

TPA plans are also common in managing healthcare benefits.

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Lai

7 days ago

I think PPO plans are a good choice for those who want more flexibility in choosing healthcare providers.

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Lakeesha

9 days ago

I agree, PPO plans definitely take on the financial risk.

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Xuan

10 days ago

PPO plans are known for assuming the financial risk in healthcare benefits.

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Nikita

24 days ago

I think PPO plans are the way to go when it comes to assuming financial risk.

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Val

1 months ago

I agree, PPO plans definitely take on the financial risk.

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Shawnee

2 months 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

2 months 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 months ago

Yes, you are correct. PPO plans typically assume the financial risk of delivering and financing healthcare benefits.

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Paul

1 months ago

I think the correct answer is C) Preferred provider organization (PPO).

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Lon

2 months 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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