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

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

Encourage Sunrise's physicians to perform services that are not medically necessary

Completely eliminate service risk for Sunrise's physicians

Decrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers

Help stabilize expenses for Sunrise

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