Câu 65: AHM-520: Health Plan Finance and Risk Management

Experience rating methods can be either prospective or retrospective. With regard to these types of experience rating methods, it can correctly be stated that:

1. A. A health plan typically can expect much higher profit levels from using retrospective experience rating rather than prospective experience rating a health plan using prospective experience rating is more likely
2. B. Health plan using retrospective experience rating to have to pay an experience rating dividend if a group's experience has been better than expected during the rating period
3. C. The premium determined under retrospective experience rating is usually higher than the premium under prospective experience rating — đáp án hiện tại
4. D. Most states require HMOs to use retrospective experience rating rather than prospective experience rating