AHIP Health Plan Finance and Risk Management AHM-520 Question # 96 Topic 4 Discussion

AHIP Health Plan Finance and Risk Management AHM-520 Question # 96 Topic 4 Discussion

AHM-520 Exam Topic 4 Question 96 Discussion:
Question #: 96
Topic #: 4

The Newfeld Hospital has contracted with the Azalea Health Plan to provide inpatient services to Azalea's enrolled members. The contract calls for Azalea to provide specific stop-loss coverage to Newfeld once Newfeld's treatment costs reach $20,000 per case and for Newfeld to pay 20% of the next $50,000 of expenses for this case. After Newfeld's treatment costs on a case reach $70,000, Azalea reimburses the hospital for all subsequent treatment costs.

One true statement about this specific stop-loss coverage is that


A.

The carrier is Newfeld


B.

The attachment point is $20,000


C.

The shared-risk corridor is between $0 and $70,000


D.

This coverage can also be activated when the total covered medical expenses generated by the hospitalizations of Azalea plan members reach a specified level


Get Premium AHM-520 Questions

Contribute your Thoughts:


Chosen Answer:
This is a voting comment (?). It is better to Upvote an existing comment if you don't have anything to add.