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Question 82/129
Users of the Fulcrum Health Plan financial information include:
The independent auditors who review Fulcrum's financial statements
Fulcrum's controller (comptroller)
Fulcrum's plan members
The providers that deliver healthcare services to Fulcrum plan members
Fulcrum's competitors
Of these users, the ones that most likely can correctly be classified as external users with a direct financial interest in Fulcrum are the
The independent auditors who review Fulcrum's financial statements
Fulcrum's controller (comptroller)
Fulcrum's plan members
The providers that deliver healthcare services to Fulcrum plan members
Fulcrum's competitors
Of these users, the ones that most likely can correctly be classified as external users with a direct financial interest in Fulcrum are the
Correct Answer: A
- Question List (129q)
- Question 1: A health plan's costs can be classified as committed costs o...
- Question 2: A product is often described as having a thin margin or a wi...
- Question 3: Analysts will use the capital asset pricing model (CAPM) to ...
- Question 4: The accounting department of the Enterprise health plan adhe...
- Question 5: With regard to a health plan's underwriting of groups, it ca...
- Question 6: One difference between the internal and external analysis of...
- Question 7: As part of the first step in its strategic planning process,...
- Question 8: The Chamber Health Plan reimburses primary care physicians o...
- Question 9: The Jasmine Company, which self funds the health plan for it...
- Question 10: The process of converting the present value of a specified a...
- Question 11: Rasheed Azari, the risk manager for the Tower health plan, i...
- Question 12: The Fiesta Health Plan prices its products in such a way tha...
- Question 13: One true statement about a health plan's underwriting margin...
- Question 14: The medical loss ratio (MLR) for the Peacock health plan is ...
- Question 15: Dr. Martin Cassini is an obstetrician who is under contract ...
- Question 16: The methods of alternative funding for health coverage can b...
- Question 17: The following statements are about a health plan's capital b...
- Question 18: Providing services under Medicare or Medicaid can impose on ...
- Question 19: The following statements illustrate common forms of capitati...
- Question 20: The following statements indicate the pricing policies of tw...
- Question 21: The Caribou health plan is a for-profit organization. The fi...
- Question 22: One true statement about the rate ratios used by a health pl...
- Question 23: Under the alternative funding method used by the Flair Compa...
- Question 24: The Kayak Company self funds the health plan for its employe...
- Question 25: The Health Maintenance Organization (HMO) Model Act, develop...
- Question 26: In the following paragraph, a sentence contains two pairs of...
- Question 27: The following statements are about the capital budgeting tec...
- Question 28: The Caribou health plan is a for-profit organization. The fi...
- Question 29: Under GAAP, three approaches to expense recognition are gene...
- Question 30: The Caribou health plan is a for-profit organization. The fi...
- Question 31: This concept, which holds that a company should record the a...
- Question 32: Health plans sometimes use global fees to reimburse provider...
- Question 33: Over time, health plans and their underwriters have gathered...
- Question 34: One law prohibits Dr. Laura Cole from making a referral to a...
- Question 35: One true statement about cash-basis accounting is that...
- Question 36: The risk-based capital formula for health plans defines a nu...
- Question 37: The Atoll Health Plan must comply with a number of laws that...
- Question 38: One true statement about mandated benefit laws is that they...
- Question 39: The Challenger Group is a type of management services organi...
- Question 40: The Caribou health plan is a for-profit organization. The fi...
- Question 41: The provider contract that Dr. Timothy Meyer, a pediatrician...
- Question 42: The following statements illustrate the use of different rat...
- Question 43: The following statements are about carve-out programs. Three...
- Question 44: State A, which requires guaranteed issue of at least two man...
- Question 45: One way that a health plan can protect itself against case s...
- Question 46: The following statements are about federal laws and regulati...
- Question 47: An actuary for the Noble Health Plan observed that the plan'...
- Question 48: For each of its products, the Wisteria Health Plan monitors ...
- Question 49: A stop-loss contract may provide that claims are settled usi...
- Question 50: The Danner Bank loaned money to the CareWell Health Plan to ...
- Question 51: The Lighthouse health plan operates in a state that allows t...
- Question 52: In order to calculate a simple monthly capitation payment, t...
- Question 53: The following statements are about various reimbursement arr...
- Question 54: The following statement(s) can correctly be made about a hea...
- Question 55: The provider contract that Dr. Zachery Cogan, an internist, ...
- Question 56: The reimbursement arrangement that Dr. Caroline Monroe has w...
- Question 57: One true statement about variance analysis is that...
- Question 58: One true statement about capital and surplus ratios for heal...
- Question 59: Under the alternative funding method used by the Trilogy Com...
- Question 60: This concept, which is an extension of the going-concern con...
- Question 61: The sentence below contains two pairs of words enclosed in p...
- Question 62: With regard to the Medicaid program in the United States, it...
- Question 63: The Eagle health plan wants to limit the possibility that it...
- Question 64: The Marble Health Plan sets aside a PMPM amount for each spe...
- Question 65: The purest form of a self-funded benefit plan is one in whic...
- Question 66: If Grace Wilson is eligible for benefits under both the Medi...
- Question 67: Experience rating methods can be either prospective or retro...
- Question 68: The ability of a health plan to effectively perform the rati...
- Question 69: Kevin Olin applied for individual healthcare coverage from t...
- Question 70: The following statements are about the Health Insurance Port...
- Question 71: The following statements are about a health plan's pricing o...
- Question 72: The Brookhaven Company is the parent company of two subsidia...
- Question 73: The Harp Company self-funds the health plan for its employee...
- Question 74: When pricing its product, the Panda Health Plan assumes a 4%...
- Question 75: With regard to the major risk factors associated with group ...
- Question 76: With regard to capitation arrangements for hospitals, it can...
- Question 77: A financial analyst wants to learn the following information...
- Question 78: The Newfeld Hospital has contracted with the Azalea Health P...
- Question 79: Julio Benini is eligible to receive healthcare coverage thro...
- Question 80: The following statements are about risk management in health...
- Question 81: In order to show the efficiency of a health plan's managers ...
- Question 82: Users of the Fulcrum Health Plan financial information inclu...
- Question 83: The following statements are about the new methodology autho...
- Question 84: The Newfeld Hospital has contracted with the Azalea Health P...
- Question 85: In a fee-for-service (FFS) reimbursement method, providers a...
- Question 86: A health plan that capitates a provider group typically prov...
- Question 87: Federal law addresses the relationship between Medicare- or ...
- Question 88: Provider reimbursement methods that transfer some utilizatio...
- Question 89: In evaluating the claims experience during a given rating pe...
- Question 90: Health plans seeking to provide comprehensive healthcare pla...
- Question 91: Mandated benefit laws are state or federal laws that require...
- Question 92: Mandated benefit laws are state or federal laws that require...
- Question 93: The following paragraph contains an incomplete statement. Se...
- Question 94: A key factor that distinguishes the various types of health ...
- Question 95: The Cardinal health plan complies with all of the provisions...
- Question 96: The Fairway health plan is a for-profit health plan that iss...
- Question 97: The McGwire Health Plan is a for-profit health plan that iss...
- Question 98: The following statements are about the financial risks for h...
- Question 99: Most organizations that obtain group healthcare coverage can...
- Question 100: Experience rating and manual rating are two rating methods t...
- Question 101: The following statements are about a health plan's underwrit...
- Question 102: Doctors' Care is an individual practice association (IPA) un...
- Question 103: The Kayak Company self funds the health plan for its employe...
- Question 104: One true statement about a type of capitation known as a per...
- Question 105: The NAIC has developed a risk-based capital (RBC) formula fo...
- Question 106: Two sets of financial accounting standards are generally acc...
- Question 107: Companies typically produce three types of budgets: operatio...
- Question 108: The Fiesta Health Plan prices its products in such a way tha...
- Question 109: The Acorn Health Plan uses a resource-based relative value s...
- Question 110: Reconciliation is the process by which a health plan assesse...
- Question 111: The Violin Company offers its employees a triple option of h...
- Question 112: The physicians who work for the Sunrise Health Plan, a staff...
- Question 113: For this question, select the answer choice containing the t...
- Question 114: Three general strategies that health plans use for controlli...
- Question 115: If the Ascot health plan's accountants follow the going-conc...
- Question 116: Because a health plan cannot decline coverage for individual...
- Question 117: Under the doctrine of corporate negligence, a health plan an...
- Question 118: The Eclipse Health Plan is a not-for-profit health plan that...
- Question 119: The Sanford Group, a provider group, entered into a risk con...
- Question 120: The Coral Health Plan, a for-profit health plan, has two sou...
- Question 121: Several federal agencies establish rules and requirements th...
- Question 122: Variance analysis is the study of the difference between exp...
- Question 123: The following statements are about pure risk and speculative...
- Question 124: The Zane health plan uses a base of accounting known as accr...
- Question 125: The Poplar Company and a Blue Cross/Blue Shield organization...
- Question 126: The Montvale Health Plan purchased a piece of real estate 20...
- Question 127: Costs that can be defined by behavior are most commonly clas...
- Question 128: The following examples describe situations that expose an in...
- Question 129: With regard to the financial statements prepared by health p...
