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

The following statements are about the financial risks for health plans in Medicare and Medicaid markets. Three of these statements are true, and one statement is false. Select the answer choice containing the FALSE statement.

The amount of risk for health plan products is dependent on the degree of influence and the relationships that the health plan maintains with its providers. Consider the following types of managed care structures:

• Preferred provider organization (PPO)
• Group model HMO
• Staff model health maintenance organization (HMO)
• Traditional health insurance

Of these health plan products, the one that would most likely expose a health plan to the highest risk is the:

The Savanna health plan used a risk analysis technique which defines the key assumptions of Savanna's strategic financial plan in terms of mathematical formulas that can be correlated to each other or analyzed independently. This technique allowed Savanna to simulate probable future events on a computer and produce a distribution of possible outcomes. This risk analysis technique, which can be used to predict Savanna's distribution of expected claims, is known as