AHIP Health Plan Finance and Risk Management AHM-520 Question # 124 Topic 7 Discussion

AHIP Health Plan Finance and Risk Management AHM-520 Question # 124 Topic 7 Discussion

AHM-520 Exam Topic 7 Question 124 Discussion:
Question #: 124
Topic #: 7

The amount of risk for health plan products is dependent on the degree of influence and the relationships that the health plan maintains with its providers. Consider the following types of managed care structures:

    Preferred provider organization (PPO)

    Group model HMO

    Staff model health maintenance organization (HMO)

    Traditional health insurance

Of these health plan products, the one that would most likely expose a health plan to the highest risk is the:


A.

preferred provider organization (PPO)


B.

group model HMO


C.

staff model health maintenance organization (HMO)


D.

traditional health insurance


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