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Free AHM-520 Exam Braindumps
Health Plan Finance and Risk Management Questions 101–105 (page: 22)

Updated On: 10-Feb-2026
Page 22 of 44
PDF with 215 Questions

A health plan can use a SWOT (strengths, weaknesses, opportunities, and threats) analysis to analyze its relationships with the major providers in each market in which it conducts business.

  1. True
  2. False

Answer(s): A



The Column health plan is in the process of developing a strategic plan.

The following statements are about this strategic plan. Three of the statements are true, and one statement is false. Select the answer choice containing the FALSE statement.

  1. Human resources most likely will be a critical component of Column's strategic plan because, in health plan markets, the size and the quality of a health plan's provider network is often more important to customers than are the details of a product's benefit design.
  2. Column's strategic plan should only address how the health plan will differentiate its products, rather than where and how it will sell these products.
  3. Column most likely will need to develop contingency plans to address the need to make adjustments to its original strategic plan.
  4. Column's information technology (IT) strategy most likely will be a critical element in successfully implementing the health plan's strategic plan.

Answer(s): B



If the operational budget prepared by the Satilla health plan is typical of most operational budgets, then

  1. Its purpose is to track Satilla's operations and short-term profitability
  2. The key information source for this operational budget is Satilla's external environment
  3. The time frame for this operational budget is three to five years
  4. Its focus is on the threats that Satilla faces from its external environment

Answer(s): A



The Coral Health Plan, a for-profit health plan, has two sources of capital:

Debt and equity. With regard to these sources of capital, it can correctly be stated that

  1. Coral's equity holders have an ownership interest in the health plan
  2. The interest that Coral pays on its debt most likely is not tax deductible to Coral
  3. Coral's debt holders have no legal claim to Coral's assets
  4. Equity is a more risky source of capital, from Coral's perspective, than is debt

Answer(s): A



Analysts will use the capital asset pricing model (CAPM) to determine the cost of equity for the Maxim health plan, a for-profit plan. According to the CAPM, Maxim's cost of equity is equal to

  1. The average interest rate that Maxim is paying to debt holders, adjusted for a tax shield
  2. Maxim's risk-free rate minus its beta
  3. Maxim's risk-free rate plus an adjustment that considers the market rate, at a given level of systematic (non diversifiable) risk
  4. Maxim's risk-free rate plus an adjustment that considers the market rate, at a given level of nonsystematic (diversifiable) risk

Answer(s): C



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