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AHIP Exam AHM-520 Topic 5 Question 92 Discussion

Actual exam question for AHIP's AHM-520 exam
Question #: 92
Topic #: 5
[All AHM-520 Questions]

A health plan may experience negative working capital whenever healthcare expenses generated by plan members exceed the premium income the health plan receives.

Ways in which a health plan can manage the volatility in claims payments, and therefore reduce the risk of negative working capital, include:

1. Accurately estimating incurred but not reported (IBNR) claims

2. Using capitation contracts for provider reimbursement

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Suggested Answer: A

by Jody at Jul 07, 2024, 02:45 PM

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Reuben
5 months ago
Wait, you mean I can't just throw a dart at the answer choices and hope for the best? Darn, I was really looking forward to that. Guess I'll have to actually use my brain on this one.
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Twila
4 months ago
I'll go with option A) Both 1 and 2.
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Genevive
4 months ago
I guess we have to think this through.
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Susy
4 months ago
Haha, yeah, no dart throwing on this one.
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Anthony
5 months ago
As a health plan actuary, I can tell you that option A is the way to go. IBNR calculations and capitation contracts are two of the most effective tools in our arsenal. Anything less and you're asking for trouble!
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Ty
4 months ago
Definitely, as a health plan actuary, I can attest to the importance of these methods in managing claims payments.
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Kanisha
4 months ago
A) Both 1 and 2
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Ivan
4 months ago
Absolutely, these strategies help mitigate the risk of negative working capital for health plans.
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Lucy
4 months ago
A) Both 1 and 2
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Lynelle
4 months ago
I agree, accurately estimating IBNR claims and using capitation contracts are crucial for managing working capital.
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Gracia
4 months ago
A) Both 1 and 2
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Kip
5 months ago
I believe the correct answer is A) Both 1 and 2 because both strategies can help reduce the risk of negative working capital.
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Javier
5 months ago
This is a tricky one. Personally, I'd go with option A. Both IBNR estimation and capitation contracts are needed to keep the health plan's finances in check. No need to roll the dice on this one!
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Justine
5 months ago
I'm not sure, but I think the answer might be C) 2 only.
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Ivette
5 months ago
I agree, both strategies seem important for a health plan to manage its finances. Estimating IBNR claims and using capitation contracts can help stabilize cash flow.
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Rupert
3 months ago
I agree, estimating IBNR claims accurately can definitely help in managing the finances of a health plan.
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Helga
3 months ago
B) 1 only
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Ardella
3 months ago
I think accurately estimating IBNR claims and using capitation contracts are both important strategies for managing cash flow.
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Felicitas
4 months ago
A) Both 1 and 2
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Willard
4 months ago
B) 1 only
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Providencia
4 months ago
I think accurately estimating IBNR claims and using capitation contracts are both important for managing cash flow.
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Donte
4 months ago
A) Both 1 and 2
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Vicki
5 months ago
Accurately estimating IBNR claims is crucial to managing the volatility in claims payments. Using capitation contracts can also help reduce the risk of negative working capital.
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Harrison
5 months ago
Accurately estimating IBNR claims is important for managing claims payments.
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Harrison
5 months ago
A) Both 1 and 2
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Alline
6 months ago
I agree with Marisha, accurately estimating IBNR claims and using capitation contracts can help manage volatility.
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Marisha
6 months ago
I think the answer is A) Both 1 and 2.
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