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Exam Code:	AHM-520
Exam Name:	Health Plan Finance and Risk Management
Certification Provider:	AHIP
Free Question Number:	129
Version:	v2019-03-23
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Exam Question List: 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...

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