Câu 57: AHM-520: Health Plan Finance and Risk Management

The types of financial risks and costs to which a health plan is subject depends on whether the health plan provides services to the Medicare and/or Medicaid populations or to the commercial population. One distinction between providing services to the Medicare and Medicaid populations and to the commercial population is that Medicare and Medicaid enrollees typically:

1. A. Are locked into a plan for a 12-month period, whereas enrollees from the commercial population may disenroll from a plan on a monthly basis
2. B. Require less enrollee education than do enrollees from the commercial population
3. C. Have higher incidences of chronic illness than do enrollees from the commercial population — đáp án hiện tại
4. D. Are enrolled in a health plan through a group situation, whereas the commercial population typically enrolls in a health plan on an individual basis