最新的AHIP Health Plan Finance and Risk Management - AHM-520免費考試真題
The Arista Health Plan is evaluating the following four groups that have applied for group healthcare coverage:
The Blaise Company, a large private employer
The Colton County Department of Human Services (DHS)
A multiple-employer group comprised of four companies
The Professional Society of Daycare Providers
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With respect to the relative degree of risk to Arista represented by these four companies,
the company that would most likely expose Arista to the lowest risk is the:
The Blaise Company, a large private employer
The Colton County Department of Human Services (DHS)
A multiple-employer group comprised of four companies
The Professional Society of Daycare Providers
----
With respect to the relative degree of risk to Arista represented by these four companies,
the company that would most likely expose Arista to the lowest risk is the:
正確答案: B
Under the alternative funding method used by the Flair Company, Flair assumes financial responsibility for paying claims up to a specified level and deposits the funds necessary to pay these claims into a bank account that belongs to Flair. However, an insurer, which acts as an agent of Flair, makes the actual payment of claims from this account. When claims exceed the specified level, the insurer pays the balance from its own funds. No state premium tax is levied on the amounts that Flair deposits into this bank account.
From the following answer choices, choose the name of the alternative funding method described.
From the following answer choices, choose the name of the alternative funding method described.
正確答案: A
The Amethyst Health Plan uses a budgeting approach that requires each line of business within Amethyst's operation to justify its continued operation. Amethyst begins with the premise that no resources will be allocated for the following period unless each dollar to be spent is justified and is shown to be within departmental plans and corporate goals and objectives. The budgeting approach used by Amethyst is known as:
正確答案: D
A health plan can use segment margins to evaluate the profitability of its profit centers. One characteristic of a segment margin is that this margin
正確答案: B
The following information was presented on one of the financial statements prepared by the Rouge health plan as of December 31, 1998:
When calculating its cash-to-claims payable ratio, Rouge would correctly divide its:
When calculating its cash-to-claims payable ratio, Rouge would correctly divide its:
正確答案: D
A primary reason that a financial analyst would measure the Tapestry health plan's return on assets (ROA) is to determine the
正確答案: C
The following statements are about federal laws and regulations which affect health plans that offer products and services to the employer group market. Select the answer choice containing the correct statement.
正確答案: C
The Fairway health plan is a for-profit health plan that issues stock. The following data was taken from Fairway's financial statements:
Current assets.....$5,000,000
Total assets.....6,000,000
Current liabilities.....2,500,000
Total liabilities.....3,600,000
Stockholders' equity.....2,400,000
Fairway's total revenues for the previous financial period were $7,200,000, and its net income for that period was $180,000.
Assume that the healthcare industry average for the debt-to-equity ratio is 0.90. The following statement(s) can correctly be made about Fairway's debt to equity ratio:
Current assets.....$5,000,000
Total assets.....6,000,000
Current liabilities.....2,500,000
Total liabilities.....3,600,000
Stockholders' equity.....2,400,000
Fairway's total revenues for the previous financial period were $7,200,000, and its net income for that period was $180,000.
Assume that the healthcare industry average for the debt-to-equity ratio is 0.90. The following statement(s) can correctly be made about Fairway's debt to equity ratio:
正確答案: A
The Danner Bank loaned money to the CareWell Health Plan to fund an expansion of a healthcare facility. With respect to the type of financial information user Danner represents to CareWell, it is correct to say that Danner is an:
正確答案: A