AHIP Exam AHM-250 Topic 6 Question 89 Discussion

Actual exam question for AHIP's AHM-250 exam

Question #: 89
Topic #: 6

The following statements are about concepts related to the underwriting function within a health plan. Select the answer choice containing the correct statement.

AAnti selection refers to the fact that individuals who believe that they have a less-than-average likelihood of loss tend to seek healthcare coverage to a greater extent than do individuals who believe that they have an average or greater-than-average like

BFederally qualified HMOs are required to medically underwrite all groups applying for coverage.

CTypically, a health plan guarantees the premium rate for a group health contract for a period of five years.

DWhen evaluating the risk for a group policy, underwriters typically focus on such factors as the size of the group, the stability of the group, and the activities of the group.

Show Suggested Answer

Suggested Answer: D

by Lamar at Jun 01, 2024, 10:11 PM

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Tawanna

9 months ago

Ah, the joys of antitrust law. I'm going with B) Price-fixing agreement. Scandent is trying to control the market like a bunch of corporate overlords.

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Alverta

9 months ago

D) Tying arrangement, for sure. Scandent is trying to pull a fast one on Empire by forcing them to accept a whole package deal. Sneaky, sneaky!

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Brandon

9 months ago

D) Tying arrangement, for sure. Scandent is trying to pull a fast one on Empire by forcing them to accept a whole package deal. Sneaky, sneaky!

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Tonette

9 months ago

A) Horizontal group boycott

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Keena

9 months ago

Hmm, I'm not sure. They all sound pretty bad to me. Maybe I should just ask the proctor for the answer, they'll probably give it to me if I bat my eyelashes.

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Ronald

9 months ago

B) Price-fixing agreement

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Julieta

9 months ago

I think it might be A) Horizontal group boycott.

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Tarra

9 months ago

A) Horizontal group boycott

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Lorrine

10 months ago

This question is giving me a headache. I'm going to go with C) Horizontal division of markets. Scandent is trying to carve out a monopoly for themselves, right?

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Latrice

10 months ago

I disagree, I believe the answer is D) Tying arrangement because scandent required Empire to contract with them for basic medical services.

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Diane

10 months ago

B) Price-fixing agreement. Scandent is clearly trying to control the prices for medical services by bundling them with the behavioral healthcare contract.

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Fernanda

9 months ago

C) Horizontal division of markets

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German

10 months ago

B) Price-fixing agreement

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Tresa

10 months ago

A) Horizontal group boycott

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Frederic

10 months ago

I think the answer is A) Horizontal group boycott.

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Corrinne

10 months ago

I think the answer is D) Tying arrangement. Forcing Empire to contract for basic medical services in order to get behavioral healthcare services seems like a classic tying arrangement to me.

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