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

Accent = unprofitable business

Bolton = high acquisition rate

Accent = unprofitable business

Bolton = low acquisition rate

Accent = high profits

Bolton = high acquisition rate

Accent = high profits

Bolton = low acquisition rate

Medicaid will be Ms. Falk’s primary insurer

Medicare will be Ms. Falk’s primary insurer

Either Medicare or Medicaid will be Ms. Falk’s primary insurer depending on her election

Medicare and Medicaid will each be responsible for one-half of Ms. Falk’s covered expense

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