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AHIP AHM-250 Exam - Topic 7 Question 79 Discussion

Posted by Glenna on Dec 23, 2023 at 05:43 AM

Eleanor Giambi is covered by a typical 24-hour managed care program. One characteristic of this program is that it:

Suggested Answer: D

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51 comments · newest first
FL
Fletcher 11 months ago
Just to clarify, managed care typically involves cost-sharing like copayments.
GA
Gabriele 11 months ago
I thought managed care plans usually had deductibles, so D could be a contender.
RO
Roslyn 12 months ago
Wait, are we sure it covers non-work-related issues too?
CH
Cherri 12 months ago
Totally agree, B makes the most sense!
CO
Cortney 1 year ago
I think option B is the right choice here.
TA
Tayna 1 year ago
I feel like managed care usually involves shared costs, so maybe option C is correct? But I can't recall the details clearly.
GU
Gussie 1 year ago
I’m a bit uncertain about the specifics of deductibles and copayments in managed care. Wasn’t there a question like this in our practice exam?
ST
Stanford 1 year ago
I think option B sounds familiar because we discussed how some plans combine different types of coverage. That might be the right choice.
JO
Joni 1 year ago
I remember something about managed care programs covering a mix of health and disability, but I'm not sure if that's what this question is asking.
HY
Hyun 1 year ago
I'm a bit confused by the wording of the options. I may need to re-read the question and the choices a few times to make sure I'm understanding everything correctly before answering.
AL
Allene 1 year ago
I've got a good feeling about this one. The details in the options seem pretty clear, so I think I can narrow it down and pick the right answer.
CA
Carol 1 year ago
Okay, let me think this through. The question is asking about a specific characteristic of the managed care program, so I'll need to focus on identifying that rather than just generally describing the program.
CA
Carmen 1 year ago
Hmm, I'm a little unsure about this one. The options seem similar, and I want to make sure I understand the key differences between them before selecting an answer.
AH
Ahmed 1 year ago
This seems like a straightforward question about the characteristics of a managed care program. I'll need to carefully read through the options to determine which one best describes the program Ms. Giambi is covered by.
GL
Glen 1 year ago
Okay, I've got it! The Dispatcher should use the Customer First policy to prioritize individual service preferences and reduce the backlog across territories.
AU
Audra 1 year ago
This looks like a straightforward question about deployment server apps and client mapping. I think the key is to focus on the configuration files and management interface mentioned in the options.
SH
Sharan 1 year ago
This is a tricky one. I'll need to think carefully about the pros and cons of each migration method for disaster recovery.
MO
Moon 1 year ago
Haha, imagine if the answer was 'All of the above'? That would really be a managed care nightmare!
BA
Basilia 1 year ago
↳ replying to Moon
C) Requires Ms. Giambi and her employer to each pay half of the cost of this coverage.
BE
Bethanie 1 year ago
↳ replying to Moon
B) Combines the group health plan and disability plan offered by Ms. Giambi's employer with workers' compensation coverage.
AL
Alaine 1 year ago
↳ replying to Moon
A) Provides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.
RO
Rosio 2 years ago
C? Splitting the cost? That's a bit too equitable for a managed care program. They're more about making us shoulder the burden.
TR
Trinidad 1 year ago
↳ replying to Rosio
D) Requires Ms. Giambi to pay specified deductibles and copayments before receiving benefits under this program for any illness or injury.
AM
Amie 1 year ago
↳ replying to Rosio
B) Combines the group health plan and disability plan offered by Ms. Giambi's employer with workers' compensation coverage.
MO
Mollie 1 year ago
↳ replying to Rosio
A) Provides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.
CH
Christene 2 years ago
B sounds interesting, but I don't think that's it. Combining health, disability, and workers' comp? That's a lot of moving parts.
CO
Colton 1 year ago
↳ replying to Christene
D) Requires Ms. Giambi to pay specified deductibles and copayments before receiving benefits under this program for any illness or injury.
KA
Katlyn 1 year ago
↳ replying to Christene
A) Provides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.
KI
Kimbery 2 years ago
Nah, I don't think it's A. That would just be too convenient, work-related illnesses and injuries only. Gotta love the fine print.
JI
Jin 2 years ago
Because it mentions combining group health and disability plans with workers' compensation, which sounds like a managed care program.
RA
Raul 2 years ago
Why do you think it's B?
JI
Jin 2 years ago
I disagree, I believe it's B.
RA
Raul 2 years ago
I think the answer is D.
YA
Yasuko 2 years ago
Hmm, I'm pretty sure it's D. We have to pay those pesky deductibles and copayments before getting any benefits. Managed care, am I right?
EL
Elvera 1 year ago
↳ replying to Yasuko
I agree, D is the correct answer. Managed care can be tricky with all those deductibles and copayments.
BE
Becky 1 year ago
↳ replying to Yasuko
D) Requires Ms. Giambi to pay specified deductibles and copayments before receiving benefits under this program for any illness or injury.
MA
Marylou 1 year ago
↳ replying to Yasuko
C) Requires Ms. Giambi and her employer to each pay half of the cost of this coverage.
AL
Albina 1 year ago
↳ replying to Yasuko
It's definitely a downside of managed care, but it does help control costs in the long run.
AL
Alona 1 year ago
↳ replying to Yasuko
B) Combines the group health plan and disability plan offered by Ms. Giambi's employer with workers' compensation coverage.
AL
Alyce 1 year ago
↳ replying to Yasuko
A) Provides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.
MA
Marget 1 year ago
↳ replying to Yasuko
I wish we didn't have to pay so much before getting any benefits.
CO
Cory 1 year ago
↳ replying to Yasuko
I agree, D is the correct answer. Managed care can be tricky with all those deductibles and copayments.
CY
Cyril 1 year ago
↳ replying to Yasuko
D) Requires Ms. Giambi to pay specified deductibles and copayments before receiving benefits under this program for any illness or injury.
CH
Chandra 1 year ago
↳ replying to Yasuko
C) Requires Ms. Giambi and her employer to each pay half of the cost of this coverage.
PA
Paulina 1 year ago
↳ replying to Yasuko
B) Combines the group health plan and disability plan offered by Ms. Giambi's employer with workers' compensation coverage.
RA
Raelene 1 year ago
↳ replying to Yasuko
A) Provides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.
EU
Eura 1 year ago
↳ replying to Yasuko
Yeah, managed care can be a bit of a hassle with all the out-of-pocket costs.
TA
Tasia 1 year ago
↳ replying to Yasuko
I think you're right, we do have to pay deductibles and copayments with managed care.
QU
Quiana 2 years ago
But D makes more sense because it mentions deductibles and copayments.
JO
Joaquin 2 years ago
I disagree, I believe the answer is B.
QU
Quiana 2 years ago
I think the answer is D.
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