AHIP AHM-520 Exam - Topic 1 Question 22 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 22
Topic #: 1

The types of financial risks and costs to which a health plan is subject depends on whether the health plan provides services to the Medicare and/or Medicaid populations or to the commercial population. One distinction between providing services to the Medicare and Medicaid populations and to the commercial population is that Medicare and Medicaid enrollees typically:

AAre locked into a plan for a 12-month period, whereas enrollees from the commercial population may disenroll from a plan on a monthly basis

BRequire less enrollee education than do enrollees from the commercial population

CHave higher incidences of chronic illness than do enrollees from the commercial population

DAre enrolled in a health plan through a group situation, whereas the commercial population typically enrolls in a health plan on an individual basis

Show Suggested Answer

Suggested Answer: C

by Merlyn at May 08, 2022, 03:46 PM

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6 months ago

Okay, I've got a strategy for this. I'll consider how process improvements might impact employee morale and engagement.

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