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

One true statement about cash-basis accounting is that

With regard to alternative funding arrangements, the part of a health plan premium that is intended to contribute to the claims reserve that a health plan maintains to pay for unusually high utilization is known as the:

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: