Download Health Plan Finance and Risk Management.AHM-520.Pass4Sure.2019-03-01.129q.tqb

Vendor: AHIP
Exam Code: AHM-520
Exam Name: Health Plan Finance and Risk Management
Date: Mar 01, 2019
File Size: 540 KB

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Demo Questions

Question 1
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
  1. Independent auditors, the plan members, the providers, and the
  2. Competitors only
  3. Independent auditors, the controller, and the providers only
  4. Controller and the competitors only
  5. Plan members and the providers only
Correct answer: D
Question 2
The Eclipse Health Plan is a not-for-profit health plan that qualifies under the Internal Revenue Code for tax-exempt status. This information indicates that Eclipse
  1. Has only one potential source of funding: borrowing money
  2. Does not pay federal, state, or local taxes on its earnings
  3. Must distribute its earnings to its owners-investors for their personal gain
  4. Is a privately held corporation
Correct answer: B
Question 3
The Challenger Group is a type of management services organization (MSO) that purchases the assets of physician practices, provides practice management and administrative support services to participating providers, and offers physicians a long-term contract and an equity position in Challenger. This information indicates that Challenger is a type of health plan
  1. Known as
  2. An integrated delivery system (IDS)
  3. Amedical foundation
  4. Aprovider-sponsored organization (PSO)
  5. Aphysician practice management (PPM) company
Correct answer: D

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