AHM-520 Exam Dumps : Health Plan Finance and Risk Management

Causes Dr. Meyer's capitation contract with Cardigan to transfer more risk to him than the contract otherwise would transfer

Specifies that Cardigan will pay Dr. Meyer under an arrangement other than capitation until a specified number of children covered by the plan use him as their PCP

Both A and B

A only

B only

Neither A nor B

Internal analysis of the health plan can be more detailed and more specific than can external analysis

Internal analysts are more likely than external analysts to want comparative financial data about the health plan

Only internal analysts use trend analysis to analyze the health plan's financial statements

Only internal analysts typically conduct the financial analysis of the health plan themselves

Is the most common type of capitation

Is less attractive to providers when the arrangement sets provisions to limit risk

Sets provider reimbursement at a specific dollar amount per plan member

Transfers some of the risk associated with underwriting and rating from a health plan to a provider